Order Information

We would be happy to send you some of our materials if you live in the Maryland, Northern Virginia and Washington, D.C. region. As resources are scarce, if you live outside of this area, please contact your local organ procurement organization and have them help you. You can find a list of other organ procurement organizations here.

What brochure would you like us to send you? Please click all that apply.

Empowering Testimonials generic brochure

Done Vida bilingual Spanish/English brochure

Donate Life African-American brochure

Donate Life Mandarin brochure

Donate Life Korean brochure

Donate Life Vietnamese brochure 

Donat eLife tissue brochure

How many do you need of each?

(required)

Date materials needed:

(required)

Tell us where to send the materials (required):

Name

Street Address

Street Address #2

City, State, Zip

Telephone (in case we have questions)

Please contact a WRTC Community Education Specialist at 1-866-BeA-Donor if there are other needs you wish to discuss.

Subject: *
First Name: *
Middle Initial:
Last Name: *
Title:
Organization:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Phone:
Cell Phone:
E-mail: *
Website:
Comments:

Leave a Reply

Your email address will not be published. Required fields are marked *