Practice Pledge USA

Practice Registration Form - USA - World Sight Day Challenge 2020

  • YES, I WOULD LIKE TO REGISTER FOR THE 2020 CHALLENGE!

  • GENERAL DETAILS

  • SUGGESTIONS FOR PRACTICE FUNDRAISING:

    • Donating $2 or more for every pair of glasses sold during September and October
    • Donation based on the number of exams given during September and October
    • Match patient donations
    • Fundraising activity (i.e., raffle or fundraising page)
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