Sight Night 2009

Questions marked with an asterisk (*) are mandatory.

Now that you've had a frightfully good time collecting used eyewear on Sight Night, fill in your results by Friday, November 6, 2009 and to tell us how you and your group did!

Name:
Group, club or individual collecting:
Address:
City:
State:
Zip:
Daytime Phone:

2	* Number of eyewear collected:

3	* Number of volunteers:

4	* If you wish to receive a certificate of recognition, please provide your email address:

* Which of the following downloadable materials did you use to help promote Sight Night?

	Doorhangers
	Stickers
	Scare Up Old Eyeglasses On Sight Night
	Press Release
	Public Service Announcement
	Other, please specify

6	If you did use the press release or public service announcement, did you receive any local media coverage? If so, please explain where and to what extent:

7	* Where did you turn in your collected eyewear?