say thank you
to the person who donated your unit of blood.
All messages will remain completely anonymous.
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There is a 900 character limit for the message field.
PERSONAL MESSAGE RELEASE / CONSENT
(Message My Donor Program)
I hereby grant permission to Community Blood Center of the Carolinas (“CBCC”), its employees, designees, agents, independent contractors, legal representatives, advertisers, solicitors, successors and assigns the absolute right and unrestricted permission to (i) send my anonymous personal message of thanks to the donor of the unit of blood products I received, and (ii) use and distribute my personal message of thanks or any part of such message in activities related to events, advertisements, solicitations, newsletters, online and/or other promotional materials aimed to increase the number of people who donate blood.

CONSENT TO RELEASE
I hereby authorize CBCC to copy, exhibit, publish or distribute my personal message of thanks or any part of such message for purposes of marketing, advertising and publicizing CBCC’s services in connection with its Message my Donor Program, or for any other lawful purpose. My personal message may be used in printed publications, solicitations, multimedia presentations, on websites or in any other distribution media. I hereby waive the right to inspect or approve the finished product, including any written copy, wherein my personal message appears.

I hereby waive any right to royalties or other compensation arising from or related to the use of my personal message.

I hereby hold harmless and release CBCC, its officers and employees from all claims, demands and causes of action which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I understand and agree that my personal message of thanks will not be delivered to the donor of the unit of blood products if (i) the CBCC Quality Assurance Department determines, in its sole discretion, that the message contains inappropriate content, or (ii) I experience a negative reaction to the blood products I receive from CBCC within ten (10) days after receipt of the blood products.

RIGHT TO REVOKE
I hereby acknowledge that I have the right to revoke this release at any time by delivering CBCC written notice of my revocation to the contact person listed below:

Community Blood Center of the Carolinas
4447 South Blvd.
Charlotte, NC 28209
Attn.: Deanne Wells

I understand that revocation of this release will not affect any action that CBCC has taken in reliance on this release before receiving my revocation. I further understand that because my information is submitted anonymously, I will need to provide CBCC with the date of my submission and a summary of its content so my submission can be quickly identified and removed from the Message My Donor Program.
Stories like yours can be powerful tools to help raise awareness about the need for blood donations. Hearing a first-hand account of the impact blood products have in the treatment and recovery of patients in our local hospitals can truly make a difference in our community. Will you share your story? A representative of CBCC would love to speak with you and discuss the details of this opportunity.
*Please allow up to 14 business days to be contacted
Thank you!
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You Can Help!
Read their stories.
These are just a few of the inspirational local patients who have shared their stories to help raise awareness of the need for blood donations.
KHALIL, SICKLE CELL
TRISTAN, CANCER
KHAYLA, SICKLE CELL
ERIC, TRAUMA
WE ALL HAVE THE POWER TO HEAL. IT'S IN OUR BLOOD.©