Check Your Heart Capitol Rally RSVP Form We are excited to have you join us at the June 12, 2024 Capitol Rally in Lansing! Please complete the form below so we can better prepare. If you have any questions please contact [email protected] or call 866-500-5801.Your Name(Required) First Last Email(Required) PhoneInclude area codeAddress Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Number of People(Required)Including yourself, how many people are you RSVP'ing for?What is your connection to donation/transplant?Check all that apply Donor family member Living organ donor Transplant recipient Waiting for a transplant Medical professional Other March of HonorDo you plan to participate in the March of Honor (at noon) as a donor family member, living donor, transplant recipient or patient on the waiting list? Yes! Not sure yet No How many in your group plan to march?If others in your group will join you in the March of Honor, let us know how many total.Complimentary charter busesWe are working with our transplant center partners to help supporters attend the Capitol Rally. Let us know if you are interested in taking the free bus from one of these locations. We will be in touch with more info if you opt in. Not interested Ann Arbor (leaves from Gift of Life office) Grand Rapids (leaves from Corewell Health West - Butterworth) Bloomfield Township (leaves from Henry Ford Medical Center) How did you hear about the Capitol Rally?I'm a past participantTransplant Center/HospitalEmail messageSocial mediaFriend or family memberLifeLINES newsletterOther
