Donation Form

A special thanks to supporters.

Your donation is tax deductible as allowed by law. The donation funds that we receive this year will assist KeraLink International in fulfilling its mission.

Using your credit card online is safe and secure. Please see our privacy policy for details. To contribute online, please supply the requested information on the following form. Please click the "Continue" button when complete.

Contact Information

Full Name

Email Address

Daytime Phone

Evening Phone

Payment Information

Address

Address 2

City

State

Zip

Country

Donation Amount

Payment Form

Donation Information

Type of Donation

Standard Donation

In Honor Of -- Enter name in notes below

In Memory Of -- Enter name in notes below

Steps for Sight Event -- Enter Runner name in notes below

Operation Eye Rescue®

Other

Notes/Message

If you’re having problems submitting your contribution, try using the latest Chrome or Mozilla browser, or contact us directly by submitting a Donation Support Request or by calling 800.858.2020.