VOH-OHM Donation Form

VOH & OHM Donation Form
The spirit of giving is alive and well at the One Vision | One Voice | One UOA Conference. This year, we are supporting both the Vision of Hope Foundation and the Optical Heritage Museum.

50% of all money raised will support Vision of Hope, and 50% will support the Optical Heritage Museum.

Please complete the donation form below. All contributions will be processed after the conference.

😎Be Generous❣️
Name

First NameLast Name
Email
example@example.com
Type of donation:
Name of the State Association making the donation

Donation Amount

USDPlease consider adding 3% to your donation amount to cover credit card fees.

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty: