First Name	Last Name
Mailing Address	City
State	Zip
Email	Contact Phone Number

As a valued A-List HERO donor, I appreciate receiving points, but wish to donate some points BACK to the Blood Bank of Alaska HERO program.

Donate HERO Points

I would like to donate  HERO Points back to the Blood Bank of Alaska HERO program. I understand that these points will be deducted from my total redeemable points. Thank you.

As a valued A-list HERO donor, I would like to ORDER the following:

Solo Flite Book: (25 HERO Points)

I would like copies, for a total of HERO Points.

America’s Heroes Book: (25 HERO Points)

I would like copies, for a total of HERO Points.

Joe Redington Limited Edition 16x20 Art Print: (75 HERO Points)

I would like copies, for a total of HERO Points.

A-LIST HERO Travel Mug: (200 HERO Points)

I would like mugs, for a total of HERO Points.

A-LIST HERO Cap: (300 HERO Points)

A-LIST HERO LONG-SLEEVE Shirt: (400 HERO Points)

SMALL
MEDIUM
LARGE
XL
2XL
3XL

A-LIST HERO Throw Blanket: (500 HERO Points)

A-LIST HERO Fleece Jacket: (600 HERO Points)

SMALL
MEDIUM
LARGE
XL
2XL
3XL

TOTAL HERO POINTS FOR THIS ORDER:

I Would Like to Pick-up My Hero Merchandise at the:

ANCHORAGE CENTER
DIMOND MALL CENTER
FAIRBANKS CENTER
MAT-SU CENTER
KENAI PENINSULA CENTER

Please Mail My Hero Merchandise:

It will be difficult for me to pick-up my order at one of your centers. Please mail it to the address I listed above.

Comments and/or Suggestions:
 

Thank you for your support!

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