Your Personal Information

Lifesaving starts here. We can only register you if you provide ALL the details below.
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Basic Information
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03
What is Your Ancestry?*
In most cases, patients match with donors who share the same ancestry and/or ethnicity. Knowing your background can enhance a patients donor searches. If you are not sure of your heritage, think about where your grandparents or great-grand parents came from originally.
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Alternate Contact Information
Please provide contact information for a close friend or relative other than yourself who will know how to reach you if you become a match in the future. This person will be contacted only if we cannot reach you using the contact information you provided above.
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Disclosure - Newsletter and information

As a potential donor you will receive regular newsletters, medical information, process-related updates and general information about DKMS US.

If you don't want to receive further e-mails, you can unsubscribe by sending an e-mail to nonews@dkms.org with the subject "NONEWS”
I consent to receiving one or more automated texts at the cell phone number provided here from or on behalf of DKMS. Frequency will vary. Message & Data rates may apply. Text STOP to cancel.
* Mandatory field