Midwest Eye-Banks has an array of materials and publications available to its Ambassadors. Here, you can view forms to order materials, aid us in tracking events, and sign a Materials Release Form.
Ordering Materials:
You can choose from a variety of resources to supplement sharing your story:
- Your State's Eye, Organ & Tissue Donor Registries (English or Spanish)
- Most Frequently Asked Questions Card
- Eye-Bank Bookmarks
- Eye-Bank Paper Placemats
- Eye-Banks Informational Brochure
- Faith Leader Resource Guide to Organ, Tissue and Eye Donation
Order these with a Material Request Form for the eye bank in your state.
The Michigan Eye-Bank Material Request Form can be printed, filled out, and faxed to (734) 780-2143, or emailed to our Michigan Outreach Coordinator.
The Illinois Eye-Bank Material Request Form can be printed, filled out, and faxed to (312) 706-6761, or emailed to our Illinois Outreach Coordinator.
The Lions Eye Bank of New Jersey Material Request Form can be printed, filled out, and faxed to (973) 921-1221, or emailed to our New Jersey Outreach Coordinator.
Ambassador Activity Tracking Form
If you are planning an event, please fill out an Ambassador Activity Tracking Form for the eye bank in your state. This will help us keep track of how many people we are reaching with our message.
The Michigan Eye-Bank Ambassador Activity Tracking Form can be printed and faxed to (734) 780-2143, or emailed it to our Michigan Outreach Coordinator.
The Illinois Eye-Bank Ambassador Activity Tracking Form can be printed, filled out, and faxed to (312) 706-6761, or emailed to our Illinois Outreach Coordinator.
The Lions Eye Bank of New Jersey Ambassador Activity Tracking Form can be printed, filled out, and faxed to (973) 921-1221, or emailed to our New Jersey Outreach Coordinator.
Materials Release Form
Many times, Ambassadors are featured in our publications. Please take a minute to print and sign a Materials Release Form for our records. You can sign the form and fax to (734) 780-2143, email to our Outreach Coordinator, or mail it to Midwest Eye Banks.
