EYEGLASS VOUCHER REQUEST
Branch 41 - 2262 Bath Avenue - Brooklyn New York 11214
PLEASE NOTE: Active members are entitled to one free voucher a year.
RETIRED MEMBERS are entitled to one free voucher every 2 (two) years.
Click here to find a General Vision Servives near you.
Please answer all questions below.
Member's Signature___________________________ Date ____________
Click here to print
After filling out the above information, sign and date it then print it out and mail it to Branch 41 at the address on the top of this page. DO NOT USE A USPS POSTAGE FREE ENVELOPE. That would be illegal and we will refuse to honor the voucher request.