Financial Assistance

An application for individual financial assistance from the Montana Lions Sight and Hearing Foundation requires several items of information. Among the items to be filled out are: a sponsoring lions club is recommended to submit the applicants name; an explanation of what the financial assistance will be used for; any other organizations requested help from and their response; health insurance coverage; financial statement; diagnosis and recommendation by your eye care professional, hearing or speech specialist.

A STATEMENT (TAX PAGE SHOWING AGI, W-2, ETC) PROVING ANNUAL INCOME MUST BE PROVIDED WITH THIS APPLICATION.

 

*To obtain a copy of the Financial Application for Sight or Hearing, please contact a lions club

in your area. If further help is needed contact Lions Clubs of Montana Information and Referral Service

at 1-800-601-5004

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