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Hi I’m Anthony Ferrer. Due to some unfortunate genetics I’m in stage 5 kidney failure. If you are interested in donating a kidney please answer these question. Must be type O blood type. Thank you for the consideration.
1.
First and last name
2.
Physical address for test to be sent to?
*
3.
Telephone number
(Required.)
*
4.
Are you blood type O
(Required.)
*
5.
Email address
(Required.)