Camp Registration — World Blood Donor Day

Camp Registration · /f/wbdd-2026

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Camp Registration — World Blood Donor Day

Pre-registration for the June 14 mega camp.

Fields

5

Submissions

96

Conversion

62%

Converted leads

1

Fields

5 fields in this form

1

Full name

text

REQUIRED
2

Phone

phone

REQUIRED
3

Preferred slot

select

REQUIRED
4

Last donation date

date

optional
5

Bringing a friend?

checkbox

optional

Recent submissions

4 leads from this form

KR

Kavitha Ramesh

+91 9700000239 · 2026-04-12

New
SD

Shanthi Devi

+91 9700001195 · 2026-04-04

New
UM

Uma Maheshwari

+91 9700002151 · 2026-03-27

SV

Saranya Vijay

+91 9700003107 · 2026-03-19

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raktakosh.in/f/wbdd-2026

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