National Eye Donor Month State and City Proclamation Submission Form

National Eye Donor Month State and City Proclamation Submission Form

  • Please complete the short form below and share a copy of your state and/or city proclamation with EBAA. This proclamation and others from member eye banks will become a part of EBAA historical records.
  • Name
  • Eye Bank
  • Email
  • Phone
  • Date Received
  • Copy of Proclamation
    Accepted file types: jpg, gif, png, pdf, word.