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Request Eyewear Donations

Please allow up to 10 business days for our team to review your request and respond with an update.

All fields are required unless noted.

Your Information

Is your organization recognized as a 501(c)(3) charitable organization?

Event Details

Who will prescribe and/or dispense the eyewear requested?

Eyewear Needs

What age groups does your organization serve? Select all that apply.

You indicated your organization would like to receive New Optical Frames. Please select the type and quantity.

You indicated your organization would like to receive Sunglasses. Please select the type and quantity. Children’s sunglasses are not available.