Keep This Card In Your Wallet

This signed and witnessed organ retainer card is a legal document anywhere in the world.

………………………………………………….........
Witness (Full Name)

Birthdate   .…………….……………………….........

………………………………………………….........
Witness Signature
               Organ Retainer Card

I, ……………………………………..........................

…………………………….........................(Full Name)

birthdate,  ………………………….., hereby declare that following my death, none of my body organs, tissues or body substances shall be removed for transplantation, research, or any other purpose.

…………………………………………………...
Signature
                  Organ Retainer Cards

Here are sample organ retainer cards. They are legal documents and indicate your intentions wherever you are.

After printing and getting a card signed and witnessed just fold one in the middle, and keep it in your wallet. It might be wise to have multiple, original signed copies in your car and home.

A larger, easier to read copy is displayed at the bottom of this page. For a more print friendly version in Microsoft Word just send your request to gumflat88@hotmail.com putting "send organ retainer card file" in the subject box.

Thanks to Duane Horton of
www.organkeeper.com and the Japan Organ Transplant Network (don't download Japanese characters) , for ideas and for being the first to produce organkeeper cards.

Go To Australian Organ Retainer Cards
Go To Main Page
Go To OrganKeeper and Japanese Organ Retainer Cards
            Organ Retainer Card
I, ……………………….….…......................... ..……………………..................... (Full Name)
Birthdate,  ……………,  hereby declare that following my death, none of my body organs, tissues or body substances shall be removed for transplantation, research, or any other purpose.

Signature…………………………...  
    Keep This Card In Your Wallet
This signed and witnessed organ retainer card
is a legal document anywhere in the world.

……………………………….......……………..
Witness (Full Name)
Birthdate   .…………….…….
……………………………………………....….
Witness Signature