AIL APPLICATIONS FOR APPROVAL with ALL completed PAPERWORK including the $200 Copay check to your DISTRICT PROJECT CHAIRS. The PROJECT CHAIRS are as follows:
DISTRICT L WEST DISTRICT I
PDG Nell Simmons PDG Louis Cantrell
10145 Noriega Dr. 1032 15th Avenue
Pensacola, FL 32514 St. Petersburg, FL 33704
DISTRICT L EAST DISTRICT I
Contact PDG Norma Callahan Lion Gracie Nindle
386-479-9896 5030 14th Street West, Lot J29
Bradenton, FL 34207
DISTRICT O DISTRICT O
PDG Ray “Rocky” Siracusa Lion Fred Holden
1490 Casey Ln 3206 Hanging Moss Circle
Port Orange, FL 32129 Kissimmee, FL 34741
DISTRICT N NORTH DISTRICT N SOUTH
ID A Geoffrey Wade Lion Teresa San Miguel
5476 NW Culver Court 9225 SW 63rd Street
Port St Lucie, FL 34986 Miami, FL 33173
THE PROJECT CHAIRS WILL REVIEW THE APPLICATIONS AND SCHEDULE EYE EXAMINATIONS TO DETERMINE THE CORRECT DIAGNOSIS BEFORE SENDING THE CASE TO PDG NORMA CALLAHAN FOR SURGICAL APPROVAL.
PAPERWORK includes the following:
*PAPERWORK includes the following:
You can scan and email firstname.lastname@example.org the above to me, but check must be mailed. No approvals made until check is received.
Request for Payments are made by VDG Joel Levenston and he receives all bills and the payment then go to Juan Tejera, PCC who makes the payment.
Attention: When completing and submitting the Application Requesting Assistance for Surgery, the Projects Form must also be completed at the same time.