Recipient info

Recipient info

This info is used to provide FedEx with contact info in case of shipping troubles..
Fed-ex Delivery address

please only enter the address where you plan to receive your Fedex shippment. I can ship Monday-Friday with delivery on Tuesday-Sat only Saturday delivery is $16 more
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Name *

First Name Last Name
Phone Number- In case of shipping trouble or backup contact info. *

Area Code Phone Number
Please enter the Date around when you expect next ovulation or LH surge for the cycle you are wishing to try for. *

Month Day Year
Date
Tell me a little about yourself (not required) but is helpful in remembering who you are when we chat
Are you okay with receiving text updates during shipping to the number provided? *

Yes text is okay No Email is okay
Email For backup contact so i can reach you. *
example@example.com
What is your screen name for KDR or just a baby App ( so i may link up whos info this is) *
The following questions help plan a date to ship on

all info is kept private.
How long have you been in your current relationship? Are you currently married or planning on marriage? *
Have you had a previous Birth or pregnancy? *
Are your cycles regular or do they fluctuate? Average amount of days in cycle? *
Have you tried to become pregnant before and weren't successful? if so what type of fertility tests have been done if any *
Have you ever been diagnosed with PCOS? *

Yes NO Not sure i haven't done testing Yes AND i failed to get pregnant in the past
Current employment Title and length . *
Do you have savings set aside for birth or complications? *

Yes 1-2k Yes 2-5k Yes 5-7k Yes 7-10k Yes 10,000+ set aside. No i do not have savings set aside.
Current age *
The Length you have been trying to conceive for without success. ( if you have been trying)
Do you currently take a preconception vitamin or prenatal? *
if so how long have you been taking it for? and which brand
Are you okay with future contact or updates during or after pregnancy? select all that apply

Yes i'm okay updating you on how things are going Yes i'm okay with future contact or uncle type role later in life. NO contact but updates are okay NO future contact or updates after pregnancy.
Allergy information depending on the cryopreservative buffer that is used it may be derived from soy Lecithin, Milk ( Lecithin) , TYB ( contains commercial egg yoke+ gentamicin ), Or Glycerin plant-based. Are you allergic to any of these or Antibiotics such as gentamicin sulfate? If so other animal free media buffers are available such as HEPES *
Any questions you have or other info you would like to provide can be entered below. Thank you for taking the time to fill out the form! I will get back to you as soon as possible by email or text whichever you prefer. Thank you for considering me as your Donor Looking forward to chatting with you!
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Recipient info

Fed-ex Delivery address

The following questions help plan a date to ship on