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The Way I See it # 275
When I wake up in the morning, I want to know that my family,friends and fans know what I believe in and what I’m all about.That’s what should be important.

-Robert Randolph
To laugh often and much;to win the respect of
intelligent people and the affection of children;to earn the appreciation of honest critics and to endure the betrayal of false friends;to appeciate beauty; to find the best in others;to leave the world a bit better whether by a healthy child, a garden patch or a redeemed social condition; to know even one life has breathed easier because you have lived. This is have succeeded.

-Ralph Waldo Emerson
Be who you are and say what
you feel, because those who mind don't matter, and those who matter don't mind.

- Dr. Suess
 
 

PATIENT REGISTRATION
* Denotes required field
*Please note that once you sign up as a member with Flood Sisters, you need to be proactive in contacting donors through our database.
* Title :
* First Name :
  Middle Name :
* Last Name :
  Request :
* Requirements the potential
  donor must have to be a
  compatible match.
* Blood Group :
* Gender: Male Female
*Age
* Organ needed :
* Type
* Address Line 1 :
  Address Line 2 :
* City :
* State :
* Country :
* Zip/Postal Code :
* Phone No :
  Mobile No :
* Email Address :
  Photo1 :
  Photo2 :
  Photo3 :
 * Story :
* Is the patient willing to travel to donor?
Yes No
   
* How did you hear about Us?
Internet
Magazine
Newspaper
Friend
Other
Flyer/Poster
Another website
News/Media
Referrel
* Earliest date patient can accept organ :
/ (mm/dd/yyyy)   select Calendar
* Posted Date :
/ (mm/dd/yyyy)   select Calendar
* Password :
* Re-Type Password :
Membership Type :
   
  
 
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