MISSION PROGRAM

YOU DONATE YOUR TIME. WE’LL DONATE OUR SURGICAL HEADLIGHTS.

Enova Illumination supports medical mission work around the world. Hundreds of doctors and dentists have used our LED surgical headlights to perform surgeries in rural and remote communities throughout Central and South America, Asia and Africa.

Mission Request Form

All fields are required.

First Name *

Last Name *

Title *

Address *

City *

State *

Zip Code *

Specialty

Mission Group

Group Name *

Address *

City *

State *

Zip Code *

Mission Contact First Name *

Mission Contact Last Name *

Email Address *

Phone Number *

Shipping Information

Note: We cannot ship to PO Boxes or outside of the USA and Canada.

Address *

City *

State *

Zip Code *

Select a Country

Email for Tracking Number *

Enova requires a $100 fee to cover shipping, handling prep, and cleaning for headlights used on mission trips. The maximum number of headlights available per mission trip is two headlights. We will contact you to provide us with a VISA or MasterCard credit card to cover the fee.

Timeline

Where will Enova Headlight(s) be used:

Need-by Date (when the headlights need to be received): *

Estimated Headlight Return Date:

Please take photos! We would like to include your photos, videos, and comments for promotional and educational purposes. Please complete a Testimonial and Photo Release Form and return to Enova. Thank you!