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Type in the above field ONLY your town, state and country, separated by comma (e.g. Johannesburg, Gauteng, South Africa). You can just type your country, if you feel uncomfortable to disclose your location.

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Type in a short info about yourself. You can put your country, town, real name or nickname. (e.g. South Africa, Johannesburg, John Smith, Johny) This short information will help people to find you, when searching for donors in our web site. !!! Do not put sensitive information which will put your privacy and security at risk. Our users will contact you through the website messaging module. !!!

My blood type is: (required)

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Security Question

Write with digits the number eighty eight