Michigan Dental Association

 Fill Out a Participation Form Today
Please note when filling out this form, ignore the portion that asks for credit card information
and also ignore the message at the end of the process that says you signed up for an event
on December 1. The drive is during the month of November, and no donation is required.

 

 

 

 

 

Join us as we

TAKE A BITE OUT OF CANCER!
The Michigan Dental Association (MDA), in partnership with The Leukemia & Lymphoma Society, Delta Dental, and
Delete Blood Cancer
DKMS
 is conducting a statewide bone marrow drive to fight blood cancer.  During the month of November, participating dental offices across the state are invited to register patients with the international bone marrow registry.

Participating offices will find the campaign quick, easy and FREE to patients and dental offices.

You can be just three steps away from saving a life.........

Step #1  - Sign Up
Signup is quick and easy.  Fill out the interest form and Delete Blood Cancer DKMS will ship the swab kits right to your office.  The kits will contain:
instructions, supplies including swabs and a return envelope.

Step #2 - Ask Patients to Participate 
Explain to your patients what the drive is - simple talking points, signs for your office waiting room or operatory, and fact sheets are available to print on this site (see Downloadable Forms).  A short You Tube video can also be shown if you prefer:
http://youtu.be/Zw5HTSEcyxo

Step #3 -Return Kits to DKMS 
At the end of the month, be sure to mail all the completed registration forms and swab kits back to Delete Blood Cancer DKMS in the envelope provided.

We are here to help and answer any questions you may have:

Norb Promo
The Leukemia & Lymphoma Society
248.581.3903
norb.promo@lls.org

Kelly Taylor
Delete Blood Cancer DKMS
212.209.6739
kelly@dkmsamericas.org

 

FILL OUT A PARTICIPATION FORM TO RECEIVE YOUR KITS
Please note when filling out this form, ignore the portion that asks for credit card information
and also ignore the message at the end of the process that says you signed up for an event
on December 1.  The drive is during the month of November, and no donation is required.

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