Easy steps to purchase your
Gift of Vision
Gift of Vision
Use the order form below and follow these easy steps Step 1
Select a gift – Choose one of the six gifts offered in our brochure or on this website.
Step 2
Select a card
• All Occasions
• December Holidays or Christmas
Step 3
Choose your delivery option.
We can send the card to you and you can add your own hand written message or we can add your message and mail
the card directly to the recipient.
Step 4
Decide upon your greeting; up to three words.
For example, Merry Christmas, Happy Birthday, Thinking of you, etc.
Step 5
Prepare your own message; up to 12 words.
Step 6
Complete the rest of the order form.
Step 7
Mail or fax your order to one of our offices listed below.
• Happy Birthday
• In Memory
• Wedding
Example certificate that will accompany the card
Name of the person you
want to send the card to
Your greeting
(up to 3 words)
Your message
(up to 12 words)
Your name
Front


Back
Mail, fax or phone your order to us

United States
Canada
Australia
United Kingdom
Suite 304, 1019 8th Street
Golden, CO, 80401, USA
4 Parkdale Crescent NW,
Calgary, Alberta, T2N 3T8, Canada
PO Box 6378, UNSW, Sydney
NSW 1466, Australia
c/o The AOP, 2 Woodbridge Street,
London, EC1R 0DG
Telephone: 1-888-OGS-GIVE
Fax: 1 303-279-8042
Email: usa@givingsight.org
Telephone: 1 800-585-8265 ext 4
Fax: 1 403 270 1899
Email: canada@givingsight.org
Telephone: 1300 88 10 73
Fax: +61 (0)2 9385 5177
Email: australia@givingsight.org
Telephone: +44 (0)207 549 2080
Fax: +44 (0)207 251 8315
Email: uk@givingsight.org
GIFT ORDER FORM
Gift of Vision
OGS1
Give five people vision
through eye exams and
glasses
AUS $30
UK £14
US $25
CAN $25
Print the completed form, then mail, fax or phone
your order to us
FROM: (Please use block capitals)
Your Name (first and last):
Address:
City:
Province/State/County:
OGS2
Postal/Zip code:
Provide a “study pack” for
an optometry student
Phone (Daytime):
AUS $60
UK £28
(Home):
Gift
TO:
US $50
CAN $50
Card:
OGS3
(enter gift code)
Provide low vision aids for
a vision center
Quantity
AUS $120
UK £56
Email:
Wedding
Christmas
Please mail card to the address below:
Address:
Gift Price
$/£
US $300
CAN $300
In Memory
December Holidays
Please mail card to my address above OR
OGS4
AUS$360
UK £168
Birthday
Name to appear on card: e.g Dad
US $100
CAN $100
Provide a pediatric
trial frame
All Occasion
City:
Province/State/County:
Postal/Zip code:
Country:
Greeting (maximum 3 words) e.g. Merry Christmas
Special message (optional) maximum 12 words: e.g.Thinking of you on this special day
OGS5
Total Enclosed
Screen six schools in a
developing country
AUS $720
UK £336
US $600
CAN $600
Use one form for each gift
$/£
To ensure mail delivery of your gift,
please place your order up to 3 weeks
prior to the date of your special occasion
Method of Payment
Enclosed is a cheque payable to Optometry Giving Sight
OGS6
Help give vision to
thousands by providing a
trial lens set
AUS $1440
US $1200
UK £672 CAN $1200
Or
Visa
Mastercard
Amex
Discover (US Only)
Card Number:
Name on Card:
Expiration Date: MM/YY
Signature:
Total Enclosed: $/£
I am a UK taxpayer and confirm that my gift is a personal donation and I'm not donating on behalf of a group, company or someone else. Please treat all
donations I make or have made to Optometry Giving Sight for the past four years as Gift Aid donations until further notice. (If you wish to Gift Aid this
donation, please note that we can only claim tax on donations made from a personal bank or building society account, not company accounts).
Optometry Giving Sight in the United States is a registered 501c3 public charity. All
donations are tax deductible to the fullest extent allowed by law.
All donations of $2 and over are tax deductible.
ABN 63 121 084 928
Our fundraising aim is to generate funds for the elimination of uncorrected refractive error, in excess of a million dollars from Canadian optometrists, their patients and optometric
industry. Only a maximum of 15% of every donated dollar is retained for administration and fundraising. All donations are tax deductible. If you have any questions, please
contact our Country Manager at 1-800-585-8265 ext. 4 or email Canada@givingsight.org. Registration number is: #894850965RR0001