This page was last updated: February 7, 2011

Eye Care for Kids Foundation

9660 Hillcroft, Suite 325

Houston, TX 77096

PH: 713-728-5437

Fax: 713-728-9304

info@eyecareforkids.org

Third  Annual  "Cosmos & Cosmetics" Registration

Name:

Company Name:

Name on Card:

Card Number:

Expiration Date:                                       V Code:

Billing Address

City:                                   State:                       Zip: 

Phone Number

Email Address: 

To register by mail

click here

to download & fill

out form & return

with your check or

credit card info to

Eye Care for Kids

Foundation. 

$50 Guest Registration $250 Sponsor Registration

$500 Sponsor Registration$1000 Sponsor Registration