Gamete Request Customer Information *Required Information Physical Characteristics Age Age Race Receiving*CaucasianHispanicArabRomaniAfricanAfrican-AmericanMulattoIndianAsian Race PartnerCaucasianHispanicArabGypsyAfricanAfrican-AmericanMulattoIndianOriental Blood Type and RH Receiving*A+A-AB+AB-B+B-O+O- Blood Type and RH PartnerA+A-AB+AB-B+B-O+O- Height (cm) Height (cm) Weight (kg) Weight (kg) Hair color Receiving*BlondeDark blondeBrownLight brownDark brown Hair color PartnerBlondeDark blondeBrownLight brownDark brown Hair texture Receiving*StraightWavyCurlyAfro Hair texture PartnerStraightWavyCurlyAfro Eye color Receiving*BlueGreenAmberAmber-BrownBrownBlackOther * observations Eye color PartnerBlueGreenAmberAmber-BrownBrownBlackOther * observations Skin color Receiving*WhiteBrownVery BrownBlack Skin color PartnerWhiteBrownVery BrownBlack Select sample type Mini-lot (3-4 oocytes)Lot (6-7 oocytes)Maxi-lot (8-9 oocytes)Sperm (Normal)Sperm (IUI Ready) I have read and accept the Privacy Policy
