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18.191.113.112  Public Scan

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Submitted URL: https://login.bloodcenter.org/donor/schedules/drive_schedule/111298
Effective URL: https://login.bloodcenter.org/donor/schedules/zip
Submission: On January 20 via manual from US — Scanned from US

Form analysis 1 forms found in the DOM

POST /donor/schedules/zip

<form action="/donor/schedules/zip" method="post" id="zip_form" accept-charset="utf-8" class="sub_area" novalidate="novalidate">
  <div class="center-block row">
    <div class="form-group">
      <label class="control-label" for="zipcode">Zip Code:</label><input type="text" name="zipcode" value="" class="required form-control zip" data-mask="99999">
    </div>
    <div class="form-group"><label class="control-label" for="show_mobiles">Mobile Drives:</label><input type="checkbox" name="show_mobiles" value="1" checked="checked" class="hidden">
      <div is="0" class="btn-group" tabindex="0"><a is="0" class="btn btn-default">No</a><a is="1" class="btn active btn-success">Yes</a></div>
    </div>
    <div class="form-group">
      <label class="control-label" for="show_centers">Donor Centers:</label><input type="checkbox" name="show_centers" value="1" checked="checked" class="hidden">
      <div is="0" class="btn-group" tabindex="0"><a is="0" class="btn btn-default">No</a><a is="1" class="btn active btn-success">Yes</a></div>
    </div>
    <div class="form-group">
      <label class="control-label" for="procedures">Donation Type:</label><select id="select_procedure_id" name="procedure_id" class="form-control">
        <option value="0" selected="selected">Any</option>
        <option value="12">CICBC Conversion CUML</option>
        <option value="13">CICBC Conversion SAMP</option>
        <option value="2">Double Red Cell</option>
        <option value="26">Granulocytes</option>
        <option value="24">Granulocytes RBC Loss</option>
        <option value="6">Hemochromatosis</option>
        <option value="16">HH Double Red</option>
        <option value="17">HH Low Vol Double Red</option>
        <option value="18">HH Red Cell/Plt/Plasma</option>
        <option value="8">Low Volume Double Red</option>
        <option value="3">Platelet Pheresis</option>
        <option value="9">Platelet with RBC Loss</option>
        <option value="11">Platelet/Excess RBC Loss</option>
        <option value="14">QNS0</option>
        <option value="19">Sample Only</option>
        <option value="22">Testosterone Double Red</option>
        <option value="21">Testosterone Whole Blood</option>
        <option value="23">TestosteroneLowVolDbl Red</option>
        <option value="25">Therapeutic</option>
        <option value="1">Whole Blood</option>
      </select>
    </div>
    <div class="form-group">
      <label class="control-label" for="start_date">Start Date:</label><input type="text" id="start_date" name="start_date" value="01/20/2023" class="form-control date">
    </div>
    <div class="form-group">
      <label class="control-label" for="end_date">End Date:</label><input type="text" id="end_date" name="end_date" value="02/20/2023" class="form-control date">
    </div>
    <div class="form-group">
      <label class="control-label" for="distance">Distance range:</label>
      <div class="slider slider-horizontal" id="distance_slider">
        <div class="slider-track">
          <div class="slider-track-low" style="left: 0px; width: 0%;"></div>
          <div class="slider-selection" style="left: 0%; width: 59.1837%;"></div>
          <div class="slider-track-high" style="right: 0px; width: 40.8163%;"></div>
        </div>
        <div class="tooltip tooltip-main top" role="presentation" style="left: 59.1837%; margin-left: -14.5px;">
          <div class="tooltip-arrow"></div>
          <div class="tooltip-inner">30</div>
        </div>
        <div class="tooltip tooltip-min top" role="presentation">
          <div class="tooltip-arrow"></div>
          <div class="tooltip-inner"></div>
        </div>
        <div class="tooltip tooltip-max bottom" role="presentation" style="top: 18px;">
          <div class="tooltip-arrow"></div>
          <div class="tooltip-inner"></div>
        </div>
        <div class="slider-handle min-slider-handle round" role="slider" aria-valuemin="1" aria-valuemax="50" aria-valuenow="30" tabindex="0" style="left: 59.1837%;"></div>
        <div class="slider-handle max-slider-handle round hide" role="slider" aria-valuemin="1" aria-valuemax="50" aria-valuenow="1" tabindex="0" style="left: 0%;"></div>
      </div><input type="text" id="distance" name="distance" value="30" data-slider-id="distance_slider" data-slider-min="1" data-slider-max="50" data-slider-step="1" data-slider-value="30" data-value="30" style="display: none;">
    </div>
  </div>
  <br>
  <div class="row text-center">
    <button type="submit" id="search" class="btn btn-md btn-danger"><span>Search</span></button>
    <button type="button" id="reset" class="btn btn-md btn-default"><span>Reset</span></button>
  </div>
</form>

Text Content

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Mississippi Valley Regional Blood Center
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QUICK LINKS




SEARCH SCHEDULES:

 * Donor Centers
 * Map Based
 * Zip Code Search
 * County Search
 * City Search
 * Sponsor Name Search
 * Sponsor Code Search


APPOINTMENTS:

 * My Appointments






SEARCH BY ZIP

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If not, enter your zip code below to find a donation location near you! Contact
us at hello@impactlife.org or 800-747-5401 with questions. 



Zip Code:
Mobile Drives:
NoYes
Donor Centers:
NoYes
Donation Type: Any CICBC Conversion CUML CICBC Conversion SAMP Double Red Cell
Granulocytes Granulocytes RBC Loss Hemochromatosis HH Double Red HH Low Vol
Double Red HH Red Cell/Plt/Plasma Low Volume Double Red Platelet Pheresis
Platelet with RBC Loss Platelet/Excess RBC Loss QNS0 Sample Only Testosterone
Double Red Testosterone Whole Blood TestosteroneLowVolDbl Red Therapeutic Whole
Blood
Start Date:
End Date:
Distance range:
30





Search Reset











OTHER SCHEDULING OPTIONS

 * Donor Centers
 * Map Based
 * County Search
 * City Search
 * Sponsor Name Search
 * Sponsor Code Search




 * Donating Blood
 * Host A Blood Drive
 * Locations
 * Join Our Team
 * About

Mississippi Valley Regional Blood Center

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