Online Donation

First Name*

Last Name*

Organization

Address*

City*

Zip*

State*

Phone*

Email*

I would like my gift to support:

Donation type

Onetime Recurring

Frequency

Monthly

Number occurrences

Amount

$ 10.00 $ 25.00 $ 50.00 $ 100.00 $ 250.00 $ 500.00

Payment method *

Credit Card
Paypal

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card type*

Card Holder Name*

Credit or Debit card*

Verification code*

While renewing your drivers license or vechicle registration, please check the box for Friends for Sight. Learn More »

"This year alone we had 4 children who after their screening visited the eye doctor & were prescribed glasses. The smiles on their faces when they came back to school wearing their new glasses & to quote one child, 'I can see everything now, teacher!' How can words express our thanks for opening a child’s world like that?”

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