ENG Aviation

¡ENG Aviation te invita a ser un salvavidas!

Al unirte al registro de donantes de Donate Life Texas, das esperanza a miles de personas que esperan el trasplante que necesitan para sobrevivir. Registrarte para ser donante de órganos, ojos y tejidos registra tu decisión de ser donante. Tu generosidad puede salvar hasta ocho personas vive a través de la donación de órganos y lleva la visión y la sanación a otras 75 personas o más mediante la donación de córnea y tejidos.

Solo toma unos momentos, pero significa una segunda oportunidad única en la vida.

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https://www.donatelifetexas.org/es/engaviation/

Register as a donor

Gender*

male female

First Name*

Middle Name

Last Name*

Date of Birth (ex: MM/DD/YYYY)*

Most Recent Address*

City*

State*

Not from Texas? Visit Donate Life America to find the registry for your state.

ZIP Code*

Phone

E-mail Address*

Place of Birth (City, State)

Ethnicity

PLEASE PROVIDE ONE OF THE FOLLOWING:

SSN# (Last Four Digits)

Texas Driver License/Personal ID:

Mother's Maiden Name

How did you learn about the Texas Donor Registry?

Please Specify

I would like to donate:

all organs and tissues for transplant and for research, education or therapy purposes if they are determined unsuitable for transplant
all organs and tissues for transplant only
to specify my gift of donation on the next page

Have you signed up for a Body Donation Program? If so, please indicate which program:

Electronic Signature Certification
I understand this online registration remains binding after my death. I do solemnly swear, affirm or certify that I am the applicant described in application, and that the information entered herein is true and correct. By clicking the submit button I affirm that I wish to be a potential organ donor and/or tissue donor upon my death.

Yes, I accept the Electronic Signature Certification.

ENG Aviation

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