Thank The Donor Family

The donor families have made a decision to provide the ultimate gift during such a difficult time in their lives. Without the generosity of the donor families, many recipients would not be able to see and could have suffered permanent vision loss. This is your time to thank those who have given you the opportunity to see again. Please complete the form below and we will submit it to your donor’s family. By submitting this form, you authorize ISR to give your contact information to the donor family and utilize your image and or submission on ISR's website, newsletter and marketing materials.

     

     

Please check here if you authorize ISR to give your contact information to the donor family.

Please check here, if you authorize ISR to add your image and submission to ISR’s website, newsletter, and marketing materials.

 Please upload only jpg or png file