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Month * - Select -JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Card Exp. Year * - Select -20182019202020212022202320242025202620272028 Card Security Code (CVV) * In order to keep you informed with relevant news, events, and updates, we ask that you provide us with this additional information. I am a * - Select -PatientSpouseParentFamily MemberHealth ProfessionalFriendOther Bone marrow failure disease * Acute Myeloid LeukemiaAplastic AnemiaChronic Lymphocytic LeukemiaMyelodysplastic SyndromesParoxysmal Nocturnal HemoglobinuriaPure Red Cell Aplasia (PRCA)Other If "other", please specify Email Interest Yes, I would like to receive relevant email news, events, and updates from AA&MDSIF. Donations are Tax Deductible The Aplastic Anemia and MDS International Foundation is a 501(c)(3) organization (tax ID 52 1336903), and all monetary donations are tax deductible to the fullest extent allowed by tax laws. 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