Eyeglasses Recycling Form – Prevention of Blindness Society of Metropolitan Washington

Eyeglasses Recycling Form

Use this form to generate a pre-filled donation form and shipping label.

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What is your first name? *

What is your last name? *

What is your email address? *

What is your street address? Include apartment, unit, or suite number if applicable. *

Example: 100 North Capital Street NE, Apartment 1A

What city? *

Example: Washington

What state? (Please use two letter abbreviation) *

Example: DC

What is your Zip Code? *

Example: 20002

Approximately how many eyeglasses are you donating? *

Example: 10

Please select an option below: *

Please email me an acknowledgement of my donation (for tax purposes).
No tax acknowledgement is needed.

Please consider making a monetary contribution with your eyeglasses donation to support the Prevention of Blindness Society of Metropolitan Washington's community-based mission. Would you like to make a gift with your eyeglasses donation today? *

Yes, by credit card (online).
Yes, by check.
Not at this time.

Your eyeglass donation is just the start – we need volunteers to help prepare them for their new owners. This hands-on opportunity lets you make a real impact, transforming lives with every pair you prepare. Whether you're part of a team, employee group, or school, volunteering is a meaningful way to give back and build camaraderie. Are you interested? *

Yes, please contact me about volunteer opportunities.
Not at this time.

After submitting this form, we will email you a pre-filled PDF form. Print and enclose this form with your donation. Keep a copy of this form for your records. It may take 2-4 weeks to process your donation of eyeglasses. *

I'm ready to help someone to better see their tomorrows!