Recycle For Sight Reporting Form

May is "Recycle For Sight" Month. If your club held a recycling campaign during the month of May, or participated in Lions World Sight Day, Sight Night or other collection event during the year, please provide the following information.

Club Name (required):
Email Address:
Recycle For Sight contact name:
Daytime Phone:
Address:
City:
State/Province:
Postal code:
Country:
Eyeglass Collection Period Start Date
End Date
Did your club partner with any other organization?
If yes, who was your recycling partner?
* * * * * * * * * * ***
If your club has been actively involved in the Lions Eyeglass Recycling Program in your community:
How many years?
Number of eyeglasses collected (required):
Collected Eyeglasses are Sent to:
Comments:
Suggestions:
If you would like to share photos, newspaper articles or collection stories, please send them to: Health and Children's Services Department Lions Clubs International 300 W. 22nd Street Oak Brook, IL 60523-8842 By submitting photos, articles and stories, you give Lions Clubs International permission for unlimited use. Photos and clippings will not be returned. We may post your photos on the Web, in printed material or use them in next year's materials!