Donations

The Eye Health Institute, Inc. is currently seeking donations in the form of ophthalmic equipment, eyewear, lenses, and ocular medications. Financial contributions are also being accepted to create a mobile clinic to better serve the needs of those living in more remote areas.

If you wish to make an In Kind or equipment  donation, please use the form below.  Please Click here to make a financial contribution.

Upon receipt of your donation, we will send you tax documents to allow you to deduct the contribution. EHI is a registered non-profit corporation and our EIN is available upon request.

 

 

 


IN KIND DONATION FORM

  Dr. Ms. Mr. Mrs. None
First Name:
Last Name:
Company
Email:
Address:
Address:
City:
State:
Zip/Postal Code:
Phone:
FAX:
Type of Donation: