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Why Cordlife

For existing Cordlife Parents

Kindly please fill in the form below to activate your LIFE CARD*

Mother's Name:*
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Email Address:*
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Date of Birth:*
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Mobile Phone:*
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Contract Number:*
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Delivery LIFE CARD Address:*
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Upload your payment transfer receipt of administrasion fee Life Card IDR 100K (for client with annual payment package only) **

*LIFE CARD is valid for one mothers name only, if you have more than one account in Cordlife, we will only proceed one LIFE CARD for you

**For Client with annual plan only

*Administration fee for annual plan client IDR 100K

*Transfer administration fee to PT Cordlife Persada account no BCA 459.303.5991

Please Verify:
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