Registro al club de donadores de sangre voluntarios y altruistas del Club Atlas

Nombre
Su nombre
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Apellido Paterno
Apellido Paterno
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Apellido Materno:
Apellido Materno:
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Fecha de nacimiento:
Fecha de nacimiento:
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Tipo Sangre
  • Tipo Sangre
  • A+
  • A-
  • B+
  • B-
  • AB+
  • AB-
  • O+
  • O-
  • No Sabe
Tipo Sangre
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Sexo
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Celular/WhatsApp
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Email:
Email
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Confirma tu email
Email
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Ha donado?
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Indique si usted es:
  • - seleccione la opción -
  • Asociado del club
  • Trabajador del club
  • Familiar o amigo
  • Otro
- seleccione la opción -
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Acepto Aviso de Privacidad y Términos y Condiciones.
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