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Full name (first and last)

Date of birth

Certificate or Reference ID

Email you registered with

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Your answer

YES, revive meIf a safe and proven method ever exists. NO, do not revive meI wish to be left at peace. Not sure yetI still need more time.

A personal note to your family (optional)

I understand revival is not possible today and may never be, and that my record is a statement of wishes only, not a legal or medical document.

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