Online Registration

SEVENTH ANNUAL

Looking Out For Kids

I will be attending the Seventh Annual Looking Out For Kids event!

Please select from the item(s) below:
(Your transaction will be confirmed by an email from
Salus University - Alumni Transaction.)

VIP Ticket(s) at $150 each - Indicate number of tickets:

VIP Eye on Kids Group Package(s) at $600 each package - Indicate number of packages:

Individual Ticket(s) at $85 each - Indicate number of tickets:

Ten Ticket Package(s) at $750 each -Indicate number of packages:

Name of Attendee/s (required)

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I am unable to attend the 2013 LOFK Event, but please accept my donation.
Donation Amount $:

Relationship to The Eye Institute

ADDITIONAL COMMENTS: You can add up to 200 characters in this field


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