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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, some areas can not get sat delivery
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.
*
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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.
*
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Month
-
Day
Year
Date
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.
Have you had a previous Birth or pregnancy?
*
Are your cycles regular or do they fluctuate? Average amount of days in cycle? e.g( 26 to 28 days)
*
Current age
*
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
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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 TYB ( contains commercial egg yoke+ gentamicin ) Are you allergic to eggs or Antibiotics such as gentamicin sulfate? If so other animal free media buffers are available such as HEPES Along with alternative antibiotics or sperm washing w/o antibiotics
*
DO YOU HAVE ANY OTHER ALLERGIES TO ANY FOODS OR MEDICINES? IF SO LIST THEM HERE
Any 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 I Look forward to chatting with you!
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