CONNECTICUT LIONS EYE RESEARCH FOUNDATION, INC
.Post Office Box 9268 New Haven, CT 06533 Telephone (203) 785-6121
THE RECOGNITION PROGRAM
As a service to you, your family, club, business, or organization, you or other donors may make a gift donation to the CONNECTICUT LIONS EYE RESEARCH FOUNDATION, INC. which recognizes a birthday, anniversary, special event … or extends get well wishes to a friend, relative, or associate. Your gift provides a service through Eye Research when you use this Foundation Recognition Program.
A beautiful card, acknowledging your thoughtful gift, with an appropriate inscription will be sent to the recipient being recognized conveying your kind sentiments. If you would like, enclose a picture to be used on the card.
A response notice is always sent to the donor acknowledging the gift amount for tax deductible purposes.
Enclosed is a donation $ ____________ Date of occasion: _____________
in the amount of:
Please check appropriate recognition card choice:
To celebrate the birthday of _____________________________________________
(Name):
To extend anniversary _____________________________________________
congratulations (Names):
To congratulate on a special _____________________________________________
occasion (Name):
(Occasion): _____________________________________________
To extend get well wishes _____________________________________________
(Name):
Other: __________________________________________________________________
Please send Recognition Card to:
Name: __________________________________________________________________
Address: __________________________________________________________________
City: ______________________________ State: __________ Zip:____________
From:
Name: __________________________________________________________________
Address: __________________________________________________________________
City: ______________________________ State: __________ Zip:____________
Please make your tax deductible check payable to:
The Connecticut Lions Eye Research Foundation, Inc.And mail it with this form to:
CT Lions Eye Research Foundation, P. O. Box 9268, New Haven, CT 06533