Ordering Eyeglasses Instructions

Thank you for your interest in ordering eyeglasses from us. Our mission is to provides recycled eye wear free of charge to people in developing countries. If you would like to order eyeglasses from us you can do that in 2 ways.

1. You can print off the Eyeglass Order Form and mail us the order form directly, or

2. You can print off the Eyeglass Order Form, scan it and then email us the order form, or

3. You can print off the Eyeglass Order Form and fax us the order form as well, or

4. You can fill our our online eyeglass order form below.

PLEASE NOTE: Organizations and Individuals ordering are responsible for shipping costs.

Order Form & Mailing Address

Form: click here to download the Eyeglass Order Form

Email: orders@clerc.ca

Fax: 403-640-1056 (PLEASE call 403-640-1056 before faxing)

Mailing Address:
The International Association of Lions Clubs (Lions Clubs International)
Canadian Lions Eyeglass Recycling Center
Bay#2 , 1216 – 34th Ave N.E.
Calgary, Alberta,
Canada
T2E 6L9

We would ask that you send us a report on the mission along with any photos that we can put on our website.


Date of Request*:
(Use the following date format: mm/dd/yyyy)
Date Needed*:
(Use the following date format: mm/dd/yyyy)
Organization*:
Contact Name*:
Phone #*:
Email*:
Address*:
Purpose
(reason eyeglasses are requested)*:
Destination*:
Sponsoring Lions Club (if applicable)*:
# of Eye Doctors on mission:
Enter the number of eyeglasses needed within each Vision category and type. We have the below in boxes of 50.
SINGLE VISION +
SINGLE VISION -
BI-FOCAL +
BI-FOCAL -
READERS
TYPE
NUMBER
TYPE
NUMBER
TYPE
NUMBER
TYPE
NUMBER
TYPE
NUMBER
+0.25
-0.25
+0.25 to +0.75
-0.25 to -0.75
+0.25
+0.50
-0.50
+1 to +1.75
-1 to -1.75
+0.50
+0.75
-0.75
+2 to +2.75
-2 to -2.75
+0.75
+1.00
-1.00
+3 to +3.75
-3 to -3.75
+1.00
+1.25
-1.25
+4 to +4.75
-4 to -4.75
+1.25
+1.50
-1.50
+5 & over
-5 & over
+1.50
+1.75
-1.75
TOTAL
TOTAL
+1.75
+2.00
-2.00
 
 
 
 
+2.00
+2.25
-2.25
 
 
 
 
+2.25
+2.50
-2.50
 
 
 
 
+2.50
+2.75
-2.75
Children's Single Vision +
Children's Single Vision -
+2.75
+3.00
-3.00
+0.25 to +0.75
-0.25 to -0.75
+3.00
+3.25
-3.25
+1 to +1.75
-1 to -1.75
+3.25
+3.50
-3.50
+2 to +2.75
-2 to -2.75
+3.50
+3.75
-3.75
+3 to +3.75
-3 to -3.75
+3.75
+4.00
-4.00
+4 to +4.75
-4 to -4.75
+4.00
+4.25
-4.25
+5 & over
-5 & over
TOTAL
+4.50
-4.50
TOTAL
TOTAL
 
+4.75
-4.75
 
+5.00
-5.00
 
+5.25
-5.25
Sunglasses
 
+5.50
-5.50
Non-Prescription
 
+5.75
-5.75
TOTAL
 
+6.00
-6.00
 
+6.25
-6.25
 
+6.50
-6.50
 
+6.75
-6.75
 
+7.00
-7.00
 
+7.25
-7.25
 
+7.50
-7.50
 
+7.75
-7.75
 
+8.00 to +8.75
-8.00 to -8.75
 
+9.00 plus
-9.00 to -9.75
 
TOTAL
-10.00 plus
 
 
 
TOTAL
 
Verify Code*: