Pledge Form

Yes! I want to contribute to Global Eye Care, Inc., and help others see better as follows :

I Want to donate Money

	I want to become a short-term medical volunteer.
	I want a display box for collecting used eye glasses.
	I want to donate equipment (name)

As a partner of Global Eye Care with a gift of $25 or more, you will receive a free subscription to our Newsletter - Global Visions, plus special updates to our programs to restore sight to the neglected blind of the world.

Please indicate how you want your name listed in our annual report
Name :
Address :
City :
State :
Zip :
Phone :
Fax :
E-mail :

Check here if you do not want to be listed.

Gifts to Global Eye Care, Inc. are tax deductible. Receipts will be sent. Please make checks payable to GLOBAL EYE CARE, INC., and mail to:
3013 Grand Concourse, New York, NY 10468

Please email us at:

IEzekwo@globaleyecare.org
SEzekwo@globaleyecare.org