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  • Hearing Aid Application

    Please understand that by completing this form you are NOT guaranteed in any way that you will receive assistance or benefits from the Horn Lake Lions Club or any of their affiliates. Horn Lake Lions Club will contact you to advise whether or not you have not been selected to receive assistance. If you are selected you will be required to supply your own transportation to and from the eye clinics. Horn Lake Lions Club will work directly with the eye clinics on all financial obligations. Only one person per household can receive assistance per calendar year.
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