Eye Pledge Form
Total no. of Plegdes : 00860

Eye Pledge Form

Sight. A marvelous gift that is often taken for granted.

Thousands of people all over the world live in darkness due to blindness.
However, Cornea transplant surgery has made it possible for many of them to see again.
So, today, lets pledge to think beyond ourselves. Lets pledge to donate our eyes so that our eyes help somebody else see even after we are gone.
All it takes is a few clicks. And a little concern.
Light Up a Life. Donate Your Eyes.

Please fill out the form below if you wish to pledge your eyes.

Name:*
DOB :*
Gender:*    
Address:*
State:*
City:*
Pin Code:*
Email:*
Mobile:* + -
Residence Landline
 
    
Share: