Submit a Mission Report

Please submit form online or print out the downloadable pdf.

Name of Organization (required)

Location/Country of Mission (required)

Your Email: (required)

Mission Dates: (required)

Total number of individuals served during mission? (required)

Total number of individuals fitted with glasses? (required)

Total number of Lions Club members on mission? (required)

Did you have any unused eyeglasses?

YesNo


Please provide photographs of the mission (photographs of individuals being fitted). Only files in the .jpg will be accepted.

Please provide us a copy of any future publications or newsletters you develop that describe the mission.


Please solve this

If you prefer download and print the mission report.

Mission Report Form