The Fall Benefit ~ Bites for Sight II Thank you for supporting The Eye-Bank's Fall Benefit. Your financial contribution will help The Eye-Bank to restore sight to more than 1,300 men, women and children each year, and to promote the awareness of eye donations through public and professional education programs. Thursday, October 24, 6:30 p.m. – 9:00 p.m. Bohemian Benevolent & Literary Association 321 East 73rd Street, New York, NY 10021 Individual Tickets $135 each Sponsorship Packages Committee: $680 (5 Tickets) Patron: $900 (7 Tickets) Benefactor: $2000 (15 Tickets) Attendee InformationFirst Name*Last Name*Address*City*State/Territory*ZIP/Postal Code*Country*Please Select...United StatesIsraelAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweTelephone*Email* Enter Email Confirm Email Order Type*TicketsSponsor PackageCan’t attend but wish to donateDonationI would like to make a donation in support of this event Donation Total $0.00 TicketsOptions*$135 Individual Ticket ($80 of each ticket is tax deductible)Ticket Quantity*I would like to make an additional donation Total $0.00 Sponsorship PackageSponsor Package*$680 Committee (5 Tickets. $405 is tax deductible)$900 Patron (7 Tickets. $515 is tax deductible)$2,000 Benefactor (15 Tickets. $1,175 is tax deductible)I would like to make an additional donation Grand Total $0.00 Additional Attendee DetailsRecommended for faster check-in.Attendee 2 Full NameAttendee 2 Email Attendee 3 Full NameAttendee 3 Email Attendee 4 Full NameAttendee 4 Email Attendee 5 Full NameAttendee 5 Email Attendee 6 Full NameAttendee 6 Email Attendee 7 Full NameAttendee 7 Email Attendee 8 Full NameAttendee 8 Email Attendee 9 Full NameAttendee 9 Email Attendee 10 Full NameAttendee 10 Email Attendee 11 Full NameAttendee 11 Email Attendee 12 Full NameAttendee 12 Email Attendee 13 Full NameAttendee 13 Email Attendee 14 Full NameAttendee 14 Email Attendee 15 Full NameAttendee 15 Email Payment Information | Credit Card InfoCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Cardholder Phone Number*I'd like to receive email updates from The Eye-Bank. Yes EmailThis field is for validation purposes and should be left unchanged.