Arizona Foundation for Eye Health (AFEH) exists to
prevent blindness and vision loss among Arizona's
diverse at-risk population by providing access to eye
care professionals via advanced telecommunications.

 

 

Eye Carumba Vision Boutique - Coming Soon

 

           

Donate to the Arizona Foundation for Eye Health

Billing Address: This is the address that your credit card statements are sent to. We will NOT be able to aquire an authorization from your credit card company for this order if this address is not the correct billing address that they have on file.
First Name
Last Name


Street:


City:
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(US residence enter 2 digit state code. If other than please use comments box.)
Zip/Postal Code:
Country:
Phone/Email
Your correct e-mail address is necessary in order for our secure server to process your order, send you an order confirmation, a copy of your receipt and a confirmation e-mail when you order is shipped.
Phone:
xxx-xxx-xxxx
E-Mail:
Credit Card Information:
Card Type:
Number:
xxxxxxxxxxx
Exp. Date: MM/YYYY
3 digit CVV2 security number on the back of your card
 
Amount you would like to donate in USD:
$ .00
Comments:
Let us know if you would like a card sent to commemorate an occasion (memorial, congratulatory, thank you).
Please add remarks and names, address, city, state, and zip of recipient.
Thank you for helping AFEH to save sight in Arizona!


Arizona Foundation for Eye Health • 4602 North 16th Street, Suite 301, Phoenix, Arizona 85016
T: 602.251.3400 • F: 602.251.3415 • E: info@azeyefoundation.org • Disclaimer

 

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