Continuing Education

Camden Eye Center Donation Form

Donating to the Camden Eye Center is completed in 4 easy steps:

1. Please print this page.
2. Please specify the aspect of the Camden Eye Center you wish to fund by selecting from the choices below.
Amblyopia/Lazy Eye Screening and Remediation Program
Adult and Senior Eye Care Programs
Sight First for Kids Program
General Operating Fund
3. Fill out your contact information:
Organization __________________________
Name __________________________
Street Address __________________________
Apt. or Suite __________________________
______________
City
______
State
__________
Zip
Email Address __________________________
4. Mail this donor form with your check made payable to:

Camden Eye Center
400 Chambers Avenue
Camden, NJ 08103

All donations receive a personal note of appreciation.


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