Register

1

Name* This field is required.

First Name

Last Name

2

ID Number* This field is required.

3

Email* This field is required.We'll send your confirmation to this email

example@example.com

4

Phone Number* This field is required.

Please enter a valid phone number.

5

Terms and Conditions* This field is required."I agree to Save7 sending my information to the Organ Donor Foundation (ODF) to formally register. Save7 will not share my sensitive personal data with any other third-parties. Save7 reserves the right to contact me should any problems with my submission arise."

6

Would you like to verify your decision by sending it to your next of kin?* This field is required.

YESNO

7

Record a message for your next of kinE.g "I want to register to donate my organs after I die"

8

Next of kin emailBy sending them your time capsule, they can sign it for us to store as a legally binding document

example@example.com

9

Would you like to donate one coffee to keep this portal running for others to register?

YESNO

10

How much would you like to donate?R40 (one coffee) will pay for 7 others to sign up, saving 49 lives

10

ZAR

25

ZAR

50

ZAR

100

ZAR

Want to provide more? Choose your own amount here.

ZAR

+ OR enter a custom value