Cancel & return cord blood

Confirmation of Contract Cancellation & Return of Cord Blood Unit – child

In order to formally end the contract, and for security purposes, you need to provide the following information.

– I give notice of cancellation of this contract with CordBank.
– I understand that the cord blood will be returned and will not be available for use for any purpose should I or my child require it under any circumstances in the future.
– I am the legal guardian(s) of the child whose blood is stored by CordBank under this contract.
– My child is under 16 years of age.

Name*

First

Last
Email*
CK Number*

Your CK Number or registration number from your confirmation email.
Name of Child*

First

Last
Child's Date of Birth*
Contact Phone Number*
Confirmation*
- I have read the information below and understand that I am authorising CordBank to return my child’s cord blood stem cells to me.
Terms of Service
I give notice of cancellation of this contract with CordBank. I understand that my request to have the cord blood returned to me means that it will not be available for use for any purpose should I or my child require it under any circumstances in the future. I am the legal guardian(s) of the child whose blood is stored by CordBank under this contract. My child is under 16 years of age.

Cancel & return cord blood

Confirmation of Contract Cancellation & Return of Cord Blood Unit – child

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