LIONS
RECYCLED EYEGLASS REQUEST FORM
We have received word that you are interested in receiving
recycled
eyeglasses for distribution to needy people in a developing country. There is no charge for eyeglasses. However, please note that you are responsible
for:
- Assuring
us that the glasses will be
given free to needy people;
- Providing
shipping instructions;
- Paying
for shipping of eyeglasses
-
Arranging
for customs clearance;
- Publicizing
Lions involvement in provision of the glasses.
- Reporting
to providing center the number of people: (a) served; (b)
fitted with glasses
Click on the links below to download either a Microsoft Word
Document File or an Adobe Acrobat File.
The Acrobat Reader is available at no charge to
you. If you do not have the Acrobat Reader, click on the icon 
or
go to the Adobe
web site and download the reader. Then return here, click on
the Lions Recycled Eyeglass Request Form Adobe Acrobat pdf File.
Download the form to your computer. Complete the form, save and email
or print and fax or mail to the Northern Virginia Lions Eyeglass
Recyling
Center.
Lions
Eyeglass Recycling Center of Northern Virginia 