Thank you for your interest in helping give the gift of sight.
Membership not only entitles you to a quarterly newsletter published by the Eye Bank Auxiliary, but also the knowledge that you have helped answer a prayer for someone in darkness. Or, you can make a contribution to the Eye Bank Auxiliary.
To join the Eye Bank Auxiliary, please print this page, and mail the completed form and your check payable to:
Baton Rouge Eye Bank Auxiliary
7777 Hennessy Blvd., PMB 163
Baton Rouge, LA 70808The Baton Rouge Eye Bank Auxiliary offers five individual and corporate membership categories from which to choose:
Active Membership $ 25 Lifetime Membership $ 150 Bronze Membership $ 250 Silver Membership $ 500 Gold Membership $1,000
Name: ______________________________________
First or Nickname: _____________________________
Home Phone: _________________________________
Office Phone: _________________________________
Address: _____________________________________
City: ________________________________________
State: _______________________ Zip: ____________
Please check your desired membership category:
___ Active ($25) ___ Lifetime ($150)
___ Bronze ($250)
___ Silver ($500) ___ Gold ($1000)
Remarks:
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