Partner Referral Signup | The Plasma Center

First name

Last name

Cell Phone Number

Zip code

Date of last donation (if any)

Leave blank if this will be their first donation.

Center

Referral code

The referring partner's code — used to credit the referral.

Initial Eligibility Screening

I am between 18 and 69 years of age. I weigh more than 110 lbs. I have not received a tattoo in the last four months

Text Message Consent

I consent to receive text messages (including autodialed and automated messages) from The Plasma Center and its partner donation centers at the phone number provided, including for marketing purposes. Consent is not a condition of purchase. Message and data rates may apply. Message frequency varies. Reply STOP to opt out at any time.

Final eligibility determined at the donation center