Pledge Your Eyes

In the hope that I may help others, I hereby make this pledge to donate my eyes if medically acceptable upon my death. I would like to give my eyes for the purpose of transplantation, medical research or education. I further direct my next–of–kin herein named, to execute this pledge after my death.

I would like my next-of-kin to be notified of my pledge to donate my eyes. Yes . No I would like my next-of-kin to notify the eye bank within one hour of my death.

Next-of-kin Details