<meta http-equiv="Content-Type" content="text/html;charset=UTF-8">
<link rel="stylesheet" href="https://register.donatelifetexas.org/js/jquery-ui-1.8.22.custom/css/redmond/jquery-ui-1.8.22.custom.css" type="text/css" media="screen" />

<script type="text/javascript" src="https://register.donatelifetexas.org/js/1.9.1/jquery.min.js"></script>
<script type="text/javascript" src="https://register.donatelifetexas.org/js/1.9.1/jquery-ui.min.js"></script>

<script type="text/javascript">
//<![CDATA[
$(document).ready(function() {
    $("#dob").datepicker({"dateFormat":"mm\/dd\/yy","changeMonth":"true","changeYear":"true","yearRange":"1900:2026","maxDate":"+0d"});
});
//]]>

</script><style>
	dd {margin-bottom:5px;}
	dt {float:left; min-width:130px;line-height:100%;padding-top:5px;}
	.online_form{padding:10px;}
	.dmv_form{border: 1px solid white;padding:10px;}
	.errors {margin-left: 0px;padding:0px;margin-top:0px; list-style:none;color:red;}
    .form-group{ clear:both;overflow:hidden; }
    #zip{ float:left; }
    #zip_message{ float:right;margin-top:10px; }
</style>
<div id="main_content">
         
    <div class="online_form">
	<form enctype="" action="" method="post">    
        <div class="form-group row"><label for="fName" class="col-sm-5 required">First Name*</label>
<div class="col-sm-7">
<input type="text" name="fName" id="fName" value="" class="form-control" /></div></div>        <div class="form-group row"><label for="lName" class="col-sm-5 required">Last Name*</label>
<div class="col-sm-7">
<input type="text" name="lName" id="lName" value="" class="form-control" /></div></div>        <div class="form-group row"><label for="zip" class="col-sm-5 required">ZIP Code*</label>
<div class="col-sm-7">
<input type="text" name="zip" id="zip" value="" class="form-control" />        <span id="zip_message" class="glyphicon glyphicon-info-sign" data-placement="left" data-container="body" data-title="Note About Zip Code" data-html="true" data-content="Donor record addresses are only updated <ol><li>Online by you or</li><li>Through the DPS if you said &quot;yes&quot; to donation when renewing your drivers license&nbsp;or&nbsp;ID</li></ol> If you have moved since your last DLT login or since your last driver license or ID was issued, please use your previous zip code to log in." ></span>
        </div></div>
        <div class="form-group row"><label for="dob" class="col-sm-5 required">Date of Birth (ex: MM/DD/YYYY)*</label>
<div class="col-sm-7">
<input type="text" name="dob" id="dob" value="" class="form-control" /></div></div>                                <div class="form-group" style="margin-top:20px;">
            <label class="col-sm-5"></label>
            <input type="submit" class="btn btn-blue btn-green-stich" style="position:relative;left:20px;" value="Login" id="online_login" name="online_login">
        </div>
    </form>
    </div>
</div>
{"id":2083,"date":"2015-03-30T12:02:25","date_gmt":"2015-03-30T17:02:25","guid":{"rendered":"http:\/\/dev.donatelifetexas.inetz.com\/?page_id=2083"},"modified":"2015-03-30T12:02:25","modified_gmt":"2015-03-30T17:02:25","slug":"withdraw-from-dlt","status":"publish","type":"page","link":"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/","title":{"rendered":"Withdraw From DLT"},"content":{"rendered":"<p class=\"qtranxs-available-languages-message qtranxs-available-languages-message-es\">Disculpa, pero esta entrada est\u00e1 disponible s\u00f3lo en <a href=\"https:\/\/www.donatelifetexas.org\/en\/wp-json\/wp\/v2\/pages\/2083\" class=\"qtranxs-available-language-link qtranxs-available-language-link-en\" title=\"English\">English<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>Disculpa, pero esta entrada est\u00e1 disponible s\u00f3lo en English.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2083","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Withdraw From DLT &#8211; Texas Donor Registry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Withdraw From DLT &#8211; Texas Donor Registry\" \/>\n<meta property=\"og:description\" content=\"Disculpa, pero esta entrada est\u00e1 disponible s\u00f3lo en English.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/\" \/>\n<meta property=\"og:site_name\" content=\"Texas Donor Registry\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/donatelifetexas.org\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@donatelifetexas\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/\",\"url\":\"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/\",\"name\":\"Withdraw From DLTWithdraw From DLT &#8211; Texas Donor Registry\",\"isPartOf\":{\"@id\":\"https:\/\/www.donatelifetexas.org\/es\/#website\"},\"datePublished\":\"2015-03-30T17:02:25+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/#breadcrumb\"},\"inLanguage\":\"es-ES\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[[\"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/\"]]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.donatelifetexas.org\/es\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Withdraw From DLT\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.donatelifetexas.org\/es\/#website\",\"url\":\"https:\/\/www.donatelifetexas.org\/es\/\",\"name\":\"Texas Donor Registry\",\"description\":\"Donate Life Texas\",\"publisher\":{\"@id\":\"https:\/\/www.donatelifetexas.org\/es\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.donatelifetexas.org\/es\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es-ES\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.donatelifetexas.org\/es\/#organization\",\"name\":\"Texas Donor Registry\",\"url\":\"https:\/\/www.donatelifetexas.org\/es\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es-ES\",\"@id\":\"https:\/\/www.donatelifetexas.org\/es\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.donatelifetexas.org\/wp-content\/uploads\/2022\/03\/FeatureImage_DLTXLogo_1.jpg\",\"contentUrl\":\"https:\/\/www.donatelifetexas.org\/wp-content\/uploads\/2022\/03\/FeatureImage_DLTXLogo_1.jpg\",\"width\":1200,\"height\":630,\"caption\":\"Texas Donor Registry\"},\"image\":{\"@id\":\"https:\/\/www.donatelifetexas.org\/es\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/donatelifetexas.org\",\"https:\/\/x.com\/donatelifetexas\",\"https:\/\/instagram.com\/donatelifetexas\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Withdraw From DLT &#8211; Texas Donor Registry","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/","og_locale":"es_ES","og_type":"article","og_title":"Withdraw From DLT &#8211; Texas Donor Registry","og_description":"Disculpa, pero esta entrada est\u00e1 disponible s\u00f3lo en English.","og_url":"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/","og_site_name":"Texas Donor Registry","article_publisher":"https:\/\/www.facebook.com\/donatelifetexas.org","twitter_card":"summary_large_image","twitter_site":"@donatelifetexas","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/","url":"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/","name":"Withdraw From DLTWithdraw From DLT &#8211; Texas Donor Registry","isPartOf":{"@id":"https:\/\/www.donatelifetexas.org\/es\/#website"},"datePublished":"2015-03-30T17:02:25+00:00","breadcrumb":{"@id":"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/#breadcrumb"},"inLanguage":"es-ES","potentialAction":[{"@type":"ReadAction","target":[["https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/"]]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.donatelifetexas.org\/es\/withdraw-from-dlt\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.donatelifetexas.org\/es\/"},{"@type":"ListItem","position":2,"name":"Withdraw From DLT"}]},{"@type":"WebSite","@id":"https:\/\/www.donatelifetexas.org\/es\/#website","url":"https:\/\/www.donatelifetexas.org\/es\/","name":"Texas Donor Registry","description":"Donate Life Texas","publisher":{"@id":"https:\/\/www.donatelifetexas.org\/es\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.donatelifetexas.org\/es\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es-ES"},{"@type":"Organization","@id":"https:\/\/www.donatelifetexas.org\/es\/#organization","name":"Texas Donor Registry","url":"https:\/\/www.donatelifetexas.org\/es\/","logo":{"@type":"ImageObject","inLanguage":"es-ES","@id":"https:\/\/www.donatelifetexas.org\/es\/#\/schema\/logo\/image\/","url":"https:\/\/www.donatelifetexas.org\/wp-content\/uploads\/2022\/03\/FeatureImage_DLTXLogo_1.jpg","contentUrl":"https:\/\/www.donatelifetexas.org\/wp-content\/uploads\/2022\/03\/FeatureImage_DLTXLogo_1.jpg","width":1200,"height":630,"caption":"Texas Donor Registry"},"image":{"@id":"https:\/\/www.donatelifetexas.org\/es\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/donatelifetexas.org","https:\/\/x.com\/donatelifetexas","https:\/\/instagram.com\/donatelifetexas\/"]}]}},"publishpress_future_action":{"enabled":false,"date":"2026-04-11 03:39:12","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.donatelifetexas.org\/es\/wp-json\/wp\/v2\/pages\/2083","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.donatelifetexas.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.donatelifetexas.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.donatelifetexas.org\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.donatelifetexas.org\/es\/wp-json\/wp\/v2\/comments?post=2083"}],"version-history":[{"count":2,"href":"https:\/\/www.donatelifetexas.org\/es\/wp-json\/wp\/v2\/pages\/2083\/revisions"}],"predecessor-version":[{"id":2234,"href":"https:\/\/www.donatelifetexas.org\/es\/wp-json\/wp\/v2\/pages\/2083\/revisions\/2234"}],"wp:attachment":[{"href":"https:\/\/www.donatelifetexas.org\/es\/wp-json\/wp\/v2\/media?parent=2083"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}