33K Eyemobile

Eyemobile Bookings

Bookings are welcome from any Lions Club in the District. If you are not with a Lions Club, or you are from a Lions Club outside our district, please contact one of our Eyemobile Coordinators – click here to send a message.

 

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- Date Available
23
- Date Booked
23
- Booking Pending

Booking Form

Club Name*
Has this booking request been approved by the Club's Board or President?*
 Yes No
Club Contact Name*
Contact's Email*
Contact's Phone*
Do you have an authorized Eyemobile driver who has volunteered for this booking?*
 Yes No
Driver's Name*
Details
Anti-Spam measures*   (just making sure you are a real person)
captcha