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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 type of eyewear are you requesting for donation? 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.

You indicated your organization would like to receive Readers.

Readers are available as a box of 60 unisex readers, with 15 each in powers of +1.50, +2.00, +2.50, and +3.00. Due to limited supplies, qualifying organizations may request one box every 12 months.