2025 1st quarter DRBC level 1

All fields marked with * are required.

Generosity isn't what you do, it's who you are. For people in need, blood products donated by heroes like you can change everything. Thank you for being part of our lifesaving team at ImpactLife. As a token of our gratitude, you’re eligible to get a choice of an electronic gift card, a charity gift card or bonus points to spend in the rewards store, if you had a successful donation with ImpactLife within the last month.

Orders will be accepted through 3/7/2025.

Be sure to check out new additions being added to the donor store monthly!

If you registered to donate and were deferred (versus a completed donation) you will receive 100 points to the Rewards Store in lieu of one of the reward gifts below. We encourage deferred donors to return to give when next eligible.

Date of Donation *

Donor ID Number (listed in email) *

Select a gift: *

Donor Birth Date *

Donor First Name (as written on Donor ID card): *

Donor Last Name (as written on Donor ID card): *

Address 1 *

Address 2

City *

State *

Zip/postal code *

Email Address: If ordering an electronic gift card, this is the email address we'll send your e-gift card and confirmation email: *

Cell/mobile phone number

My donation procedure was: *

Which donor center did you donate at? *

If you did not donate at a donor center, please fill in the mobile blood drive host/group and location here:

Tell us why you give!

Can we share your story on marketing materials?

+Donations back to our organization represent cost savings that can be applied to operating expenses and equipment needs, such as purchasing a new centrifuge, automation equipment for apheresis donations, a new box truck, or bloodmobile. For additional information, click here to email us.

Gift cards issued for Charity On Top Foundation, Inc., a 501(c)(3), are non-refundable, non-replaceable, and cannot be exchanged for cash or credit. It does not expire and is not for resale. Using this card means accepting the Terms and Conditions at charityontop.org/terms.php. For questions, call 800-JOY-1029.

The merchants represented are not sponsors of the rewards or otherwise affiliated with this company. The logos and other identifying marks attached are trademarks of and owned by each represented company and/or its affiliates. Please visit each company's website for additional terms and conditions.

Darden’s family of restaurants includes Olive Garden, LongHorn Steakhouse, Cheddar’s Scratch Kitchen, and more.

2025 1st Quarter Donation Gift Order Form

This order is not placed until you click the blue “Submit” button below. Please review your information carefully before doing so.