June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

HOPE NEWSLETTER – June 2011 Transplants

Irene Lytle Debbie Prpich

Congratulations and Best Wishes to Irene and Debbie and all other transplant recipients and their families on their second chance. There have been at least 42 lung transplants so far this year (from www.gifoflife.on.ca ) Because of privacy issues, I am unable to attain information unless the patients and/or their families volunteer it to me. Please contact me if you want the wonderful news of your second chance printed in this newsletter. Deaths

Bree Cordick Julia Lyons

Our sincere condolences go out to all families and friends on the loss of your loved ones. We only hope you can find some peace, comfort, and consolation during this time. And our donors and their families are never far from our thoughts: Thank You. To keep transplant friends informed, please contact me with the passing of your loved one, and we will inform the transplant community by way of the newsletter

The currents that determine our dreams and shape our hearts Flow from the attitudes we nurture every day.

Anonymous

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

Ontario Creates Online Donor Registry Theresa Boyle ... Health Reporter ... June 13, 2011 After five years and three official recommendations, the provincial government will allow Ontarians to register as organ donors online. The website, beadonor.ca, is up and running, though the government plans to announce it Tuesday. “It’s very good news. They are now speaking the (computer-savvy) language of a lot of people, particularly younger people,” said Marc Quinet whose 14-year-old son, Thomas, requires a double-lung transplant. More than 1,500 Ontario residents are on the wait list for organ and tissue donations, and 399 transplants were done so far this year. In the Greater Toronto Area, 1,014 are on the list and 245 transplants have been done this year. The statistics vary across the province with 44 per cent of people in London and Sudbury registered to donate, compared to only 13 per cent in Toronto. Province-wide, fewer than 20 per cent of residents have registered to donate. The creation of the online registry comes after extensive coverage by the Star about the shortage of donors and the plight faced by those waiting for organs and tissue. The provincial auditor recommended creation of an online registry in his annual report last year, as did an expert panel on transplant wait times in 2009 and a consultant to Trillium Gift of Life Network in 2006. Until now, willing donors had to register their consent in person at a Service Ontario Centre or by downloading, completing and mailing a consent form. Registration adds a donor’s name to the health ministry’s database and is required even if an individual has signed a donor card. By making it easier for people to consent, the province hopes to increase the number of donors. The registry is the creation of the Trillium Gift of Life Network, as well as the health and government services ministries. Thomas Quinet, who needs a new set of lungs, has cystic fibrosis, a genetic disease that causes thick mucus to build up on the lungs, gradually destroying them.

Thomas Quinet, 14, begins his afternoon physiotherapy session in a Niagara Falls hotel room with the help of his dad Marc on Monday. He has been waiting for a new set of lungs for a year. ... Glenn Lowson for the Toronto Star

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

Monday marked a sad anniversary for the family. Exactly a year before, they moved to Toronto from Ottawa to be close to the Hospital for Sick Children where the transplant will be performed. They had hoped the transplant would have been done by now. Making the most of their situation, the family marked the day with an excursion to Niagara Falls and the Buffalo Zoo. They can’t venture more than two hours from Toronto lest they get the call that organs have become available. “Every time there is a phone call late at night or early in the morning you think it’s the (transplant) call,” Thomas said. His parents left their jobs behind so they can be by his side. Meanwhile, they continue to pay the mortgage for their Ottawa home. Thomas said he misses Ottawa and his friends there. “You don’t know when you are going to come back home,” he said. This would be Thomas’s second double-lung transplant. He had his first in 2007 but developed bronchiolitis obliterans syndrome, a common cause of rejection. Second transplants required because of this type of rejection have success rates approaching that of first-time transplants. Janice Morrison, 58, of Oshawa, is also thrilled to hear about the registry. She has suffered from diabetes for more than 50 years and has been waiting for a kidney and pancreas transplant for nine months. “The anxiety of waiting is gut wrenching. You just hope you are well enough to stay at the standard they need you at to qualify for the operation,” she said. “We are living in the computer age, so anything they can do to make it easier to register is good.” British Columbia already has an online registry and Manitoba has plans to create one.

For National Organ and Tissue Donation

Awareness events please go to www.giftoflife.on.ca

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

On-Line Donor Registry Comes to Ontario at beadonor.ca Ontario residents can now register their consent to be an organ and tissue donor online at beadonor.ca. You need to register even if you signed a donor card. A signed donor card is not recorded in the Ministry of Health and Long-Term Care’s database and may not be available when needed. Organ and tissue donor registration is the only secure and guaranteed way to make your decision to save lives known. As of today, there are 1541 patients on the waiting list for a life saving transplant and only 400 transplants have taken place this year. Every 3 days someone dies in Ontario before an organ becomes available for their life-saving transplant. At beadonor.ca anyone 16 years of age or older can register to be a donor in just a few minutes. Please visit this site and share this link with your family, friends and other contacts. Together we can achieve a huge increase in the rate of of organ donation and save many more lives in the process. (Thank you to Merv Sheppard for submitting this important bulletin.)

Ontario's Online Organ Donor Registry Swamped With Responses 680News Staff ... 2011-06-14

TORONTO, Ont. - The province's new organ donor website is proving to be very popular, so much so that it's crashing due to the overwhelming response of people who wanted to sign up to be donors. The registry, called beadonor.ca, was unveiled on Tuesday, but was quickly swamped. Health Minister Deb Matthews told the Toronto Star only 500 people managed to log on, but urged people to keep trying. The online registry was designed to increase the number of organs available for transplant. This means those who are willing to donate an organ can do so more easily by registering online, rather than going to a Service Ontario centre in-person or downloading, completing and mailing a consent form. Of the 1,500 Ontario residents who are on the waiting list for organ and tissue donations -- about 400 transplants have been completed this year.

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

New CEO at Trillium Gift of Life Network The Board of Directors of Trillium Gift of Life Network (TGLN) is pleased to announce the appointment of Ronnie Gavsie as its new President and CEO, effective July 4, 2011. Ronnie holds a B.Sc. from McGill University and an MBA from the University of Ottawa. She brings leadership and health industry experience through her work as Senior Partner with KPMG LLP, President and CEO of the Ontario Genomics Institute, and Managing Director of the Research and Health Promotion Practice PwC LLP. Ronnie currently serves on the Dean’s Advisory Board at the University of Ottawa’s Telfer School of Management and on the Board of Directors of the Ontario Pharmacists’ Association. We look forward to welcoming Ronnie as TGLN’s new President and CEO. In closing, we take this opportunity to thank Dr. Frank Markel, our retiring President and CEO, for his dedication and commitment to TGLN. We very much appreciate all of Frank’s accomplishments as TGLN’s CEO and send our fondest hopes for a long, happy and fruitful retirement. Please share this announcement with appropriate individuals in your organization. Warmest wishes, Rabbi Dr. Reuven Bulka, Board Chair; and Bernadette MacDonald, Board Vice-Chair; On behalf of TGLN’s Board of Directors

Ronnie Gavsie

New President & CEO

Dr. Frank Markel

Retiring President & CEO

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

May 31, 2011 National Organ Registry And Allocation System Remains Remote Hopes that Canada will have a national organ transplant registry and allocation system in the foreseeable future remain remote, although Canadian Blood Services officials are optimistic that three small registries will inch administrators in that direction. The nonprofit organization was tasked with developing a national registry and allocation system in 2008 and opted to start by developing specialized registries in three areas that cater to a small fraction of waiting transplant recipients. But plans to roll out a broader strategy for some manner of national registry and allocation system remain in the developmental phase, says Chris Brennan, communications manager of the organization’s Organs and Tissues division. Canadian Blood Services continues to have discussions with provincial and territorial governments about means of standardizing the process of organ allocation, he adds. One of the three specialized registries, the Living Donor Paired Exchange, was launched in 2009, while the registry for “urgent status patients” is expected to become operational this fall and one for “highly-sensitized kidney patients” will be initiated in 2012. Funding for development of the specialized registries was made possible under a $35-million, 5-year agreement between the federal, provincial and territorial governments. Organ donation and allocation in Canada has long been plagued by jurisdictional wrangles. When Canadian Blood Services was asked to take over the file in 2008, it was hoped that the good will the agency has developed through the years in its oversight of blood donations would help it negotiate the perilous jurisdictional waters, which have resulted in a hodgepodge of donor registration processes and a range of waiting times for transplant candidates across the nation. Still observers are hopeful that the specialized registries will lay the spadework for a national allocation system for all organs. At a minimum, they should help to create some consistency between jurisdictions, says Dr. Ian Alwayn, surgical director of kidney transplants at the Queen Elizabeth II Health Sciences Centre in Halifax, Nova Scotia. “The goal of the national organ registries is to gain transparency in the way organs are allocated and to set standard rules … so that there is no discrepancy in the way that organs are allocated from one province to another.” Brennan says the Living Donor Paired Exchange, which became operational in November 2010, has been “really successful.” The program matches living donors with compatible recipients. Patients who find a

A Canadian registry for "highly-sensitized kidney

patients" will be initiated in 2012. Photo credit: ©2011 Thinkstock

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

willing donor whose kidney isn’t compatible can essentially trade that kidney for one that is compatible and offered for trade by a different donor-recipient pair. That has often necessitated multiple exchanges. Brennan says Canadian Blood Services remains hopeful that the urgent need registry will launch this fall. The wait list, which is intended for those who are “hours away from death,” will be web-based and updated in real time. It will replace the “status 4” urgent case list now maintained by the London Health Sciences Centre (www.cmaj.ca/cgi/doi/10.1503/cmaj.061256). The national registry for highly-sensitized kidney patients, meanwhile, hopes to find organ matches for people with antibodies that make finding a match difficult. Brennan offered no explanation for why a draft proposal for a national organ and tissue registry has been delayed. Canadian Blood Services had indicated they would unveil such a draft plan as early as 2009. Also unresolved are mechanisms to make organ donor registration less cumbersome. Currently, registration processes vary significantly by provinces. In British Columbia, donors can register consent online. Ontario requires residents to forward a form to the nearest ServiceOntario centre to get a sticker or a new health card. But the province is considering a move toward a web-based registry following a recommendation from its auditor general. Although Health Canada is investing roughly $3.6 million annually over five years to promote organ donations, public opinion surveys show that many Canadians remain unaware about how to register as donors (www.blood.ca/CentreApps/Internet/UW_V502_MainEngine.nsf/resources/Releases/$file/IPSOS+Report.pdf). Alwayn says a more streamlined approach to donor registration would encourage more donations, which will become ever more essential as the need for organs rises with the average age of Canada’s population. Samia Madwar, Ottawa, Ont. DOI:10.1503/cmaj.109-3889

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

We want to give all our crafters plenty of time to get working on those wonderful homemade crafts for this fall’s Craft and Bake Sale and Raffle. If you are from outside Toronto, we are willing to help with the cost of regular postage to ensure your crafts get to the sale. Please contact Mavis Bullock at 416-438-9927 or Ann McGuire at 416-233-3614 to arrange this help. The Craft and Bake Sale and Raffle will be held on Wednesday October 19th, 2011. Our annual craft and bake sale will be held on Wed. Oct. 19th in the Eaton Lobby (Elizabeth St entrance) from 7:30am to 4:00pm. We need your participation to make this day a success. If you bake, knit, sew, crochet, make jewellery, make note cards, or anything at all that could benefit the sale, please consider taking part in this worthwhile venture. Last year’s Craft and Bake Sale was a tremendous success thanks to all your generous support. We know there is amazing talent in our group! Pre and post lung transplant patients benefit directly from the proceeds of this sale, while they are in the hospital. In the past, treadmill, bike and weights for the Treadmill Room, equipment for the PFT lab and for daily use on the patient floor, the big TV, VCR and DVD in the patient lounge on the 7th floor and the TV in the patient lounge on 10 Eaton were all purchased from proceeds of the Craft and Bake sale. And most recently, proceeds went towards purchasing the pager unit for use on the 12th floor lung transplant clinic. We will be contacting Dr. Keshavjee, Susan Chernenko, Denise Helm along with the other physiotherapists, and Ursula Dignard to get some ideas about where the proceeds can be best put to use for lung transplant patients. WE APPRECIATE ANYTHING YOU CAN DO TO SUPPORT THIS WORTHWHILE CAUSE AND WE LOOK FORWARD TO HEARING FROM YOU! For more information please go www.torontolungtransplantclub.org

Attention Crafters & Bakers: We Need Your Help!

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

- RESPIRO Dinner Dance Gala Sat. Oct. 29, 2011 Proceeds from this Gala Fundraiser will go towards the Lung Transplant Unit at Toronto General Hospital. Stay tuned for more info in the coming issues of this newsletter. For more info, please contact Daniela Ramolo at danielatravel2003@yahoo.ca . See attachment at bottom of newsletter for more details. The 7th Annual Tournament ... June 2nd, 2011 Granite Ridge Golf Club, Milton Congratulations to the people involved in organizing this year’s Lung Transplant Golf Open (Kim Cassar, Tracey Jack, Mary Devlin, Rob Bellefeuille, Mark Tobin and Lee Laforest). The day was full of sunshine, camaraderie, and some serious golf, topped off with an amazing banquet. Of course, the presence of Dr. Pierre was a highlight of the day. A big thank you to Dr. Pierre for taking time from his very busy schedule to address the group and inform us about all that is happening in Lung Transplant Research at TGH. He reminded the group how appreciative The Lung Transplant Unit at TGH is for the research opportunities the funds from the Golf Open provide. A huge Thank You to everyone for supporting Lung Transplant Research at Toronto General Hospital. A correction to the May newsletter: Kim Cassar, Peter Laurence, and Merv Sheppard started the Lung Transplant Golf Open. Our apologies to Kim and Merv for this oversight.

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June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

CCaannaaddiiaann PPuullmmoonnaarryy FFiibbrroossiiss FFoouunnddaattiioonn 22nndd AAnnnnuuaall GGoollff TToouurrnnaammeenntt SSeepptteemmbbeerr 1155tthh,, 22001111

WIN a 4 some at Angus Glen golf course - Register and pay for your attendance at our 2nd Annual Golf Tournament by July 15 to enter a draw to win a 4some at Angus Glen. Increase your chances, get your whole team registered and paid up for 4 chances for your team to win. We are holding our 2nd annual golf tournament to support Pulmonary Fibrosis research on September 15 at Angus Glen. Details are on the attached poster.. You can download the order form attached above and fax or e mail it to me at 905 294 7645 or robert@cpff.ca. This year we are offering those who have lost a loved one to PF to support us with a hole sponsorship in memoriam. The cost is $500.00 and a tax receipt for $475.00 will be issued. Individuals may also sponsor a hole with the same benefits provided no business is being advertised. We are not allowed to give a tax receipt for a business expense although a business receipt will be provided if required for this type of support. We are also asking for Gold, Silver, Bronze and Hole sponsors for the tournament - the more we can cover our costs, the more goes to Pulmonary Fibrosis research. Last year we gave $52,000 to Toronto General Hospital, this year we want to do at least the same. If you wish to become a sponsor call or e mail me to find out the benefits to you or your company. If you are able to donate a raffle or silent auction prize we would be most grateful and, if you let us know, we can arrange pick up at your convenience. The $250.00 costs includes first class locker facilities; welcome bag; lunch; use of the driving range; play your own ball on the North course and dinner with wine. A tax receipt for $40.00 will also be given to those who want it. (free tax advice available in this regard). There will cash and car hole-in-one and other prize opportunities, including nearest the pin and low net scores for men and women If you wish to invite a guest for dinner only (no golf) the cost is $75.00 for the dinner only and a tax receipt of $25.00 will be given. The chef at Angus Glen is excellent. Wine will be served with dinner. We can't promise great weather but we can promise a great day.

Love to see you there Robert Davidson

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

No Excuse Not To Get A Flu Shot June 15, 2011 (from the thestar.com). Thank you to Doug Trollope for sending this to me. Re: Other side of flu shot story, Letter June 8 As a practising physician, I’m very concerned that there is any hesitation about getting protected against influenza. Flu is a socially transmitted disease that doesn’t discriminate. Anyone can get it and it can lead to some pretty severe respiratory problems, including pneumonia in children and adults. According to the Public Health Agency of Canada, up to 8,000 Canadians die of flu complications every year. Whether you are a doctor, a nurse, a mom or dad, it’s very important to think about not only protecting yourself but also others you can infect. I’m equally surprised that healthcare professionals are delivering mixed messages to the public and, by way of clarification, seasonal flu vaccines do not only vaccinate against one strain of the yearly flu. The World Health Organization recommends specific vaccine viruses for flu vaccines. In fact they just recently recommended that this fall’s flu shot will contain the strains A-California (H1N1), A-Perth (H3N2) and B-Brisbane. Last season, the flu shot covered between 94.6 to 98.9 per cent of the characterized influenza strains identified by the National Microbiology Laboratory in Canada. In Canada, all three vaccine viruses are used to maximize protection; not only against the H1N1 virus, which was targeted in the large vaccine campaign during the 2009-2010 year. Last season more Canadians seemed to be deterred from rolling up their sleeves for their flu shot perhaps because of a sense of complacency after the prior season’s H1N1 “pandemic” that resulted in a younger population demographic being affected but fortunately without the high death rates that were feared. I sincerely hope they will change their minds this season. I am not aware of any scientific, evidenced-based research that casts doubt on the validity of annual flu shots for healthy people. In fact the Public Health Agency of Canada’s National Advisory Committee on Immunization encourages all eligible Canadians to get vaccinated against the flu; especially those at high risk, such as people with diabetes, cardiovascular problems, or cancer. The best reason to get the flu shot is not for yourself but for those you care about. Excluding medical contra-indications such as egg allergies, there is really no excuse for anyone not to get vaccinated. In fact, there are many options, including one with a smaller/thinner needle for people who may be afraid of injections. Dr. Brian Aw, Family physician, Toronto

Dr. Aw is one of the leading local educators in Travel Medicine and regularly lectures to nurses, pharmacists and doctors across Ontario. He often utilizes the Media to educate the public as well.

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

What To Look For In A Sunscreen (from an article by Carly Weeks, June 20th edition, The Globe and Mail) Here are a few tips to navigate the confusing sunscreen market:

• Broad Spectrum: If it doesn’t offer “broad spectrum” protection against UVA and UVB, forget it. Sunscreens must protect against both to help prevent skin cancer. Claims of UVA protection aren’t regulated in Canada, but experts still say broad spectrum is best.

• SPF: Sun protection factor measures the degree of

protection against UVB. SPF 15 is the minimum needed to guard against skin cancer. Many experts advocate for SPF 30 to SPF 50.

• Waterproof and Sweatproof: There is little evidence backing those claims. Always reapply

often. • How much to Apply: Children and adults need a shot glass of sunscreen (one ounce or 30

millilitres).

Organ Recipients In The News (From Merv Sheppard) Dana Trude, heart/lung recipient, was featured in the Waterloo Region Record today [see article below] her accomplishment in participating in the Toronto Marathon and her goal to jump from a plane this summer as a fundraiser for the Toronto General Hospital transplant program organized by heart transplant recipient Andrea Clegg and her mother Carol Morningstar. Read more about the skydiving event at: www.tgwhf.ca/sites/testyourlimits/skydivingforandrea/ Andrea Clegg has been busy founding Life Donation Awareness Association and when I talked to her last week they already had 56 members. Check out their website and Andrea's blog: http://stayingtruetomyheart.blogspot.com/. I did a post on my blog and included photos of Dana, Andrea and her mother. http://mervsheppard.blogspot.com/2011/05/toronto-heartlung-recipient-will-jump.html

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

Organ Transplant Recipient Will Jump From A Plane By Johanna Weidner, Record Staff, May 20 2011 jweidner@therecord.com KITCHENER — Heart and lung transplant recipient Dana Trude cheered while crossing the finish line after walking a half marathon. “Then when I did that, a bunch of people cheered me on,” said the Kitchener woman. “It was really cool.” Feeling healthy and fit enough to join last weekend’s Toronto marathon is a big accomplishment for Trude. Just over four years ago, she desperately needed a new heart and lungs when her organs failed. While the transplant gave her a new chance at life, she struggled with complications such as diabetes, chronic rejection and liver and kidney trouble. She may need another lung transplant down the road. But Trude, who turns 50 in July, keeps going and discovered a love for walking. She did a 10-kilometre fundraising walk for the Canadian Diabetes Association in Hawaii last December — also marking the fourth anniversary of her transplant. “I feel fabulous. I actually feel fabulous. The walking really helps,” Trude said. “I have to have a goal, though.” Her next goal is a bit more unusual. Trude will jump out of a plane as part of a fundraiser being organized by Cambridge heart transplant recipient Andrea Clegg and her mother Carol Morningstar. Thinking about all the life-saving care Clegg got at Toronto General Hospital, they wanted to raise money for its transplant unit. Clegg, who got a new heart late last year, said she and her mother had the same idea: “Let’s do something big.” People will pay for their jump, which means the hospital will benefit from all donations to the June 18 event at the Dunnville airport. Money raised at the barbecue will go toward Life Donation Awareness Association which Clegg founded. Raising awareness is important for Clegg and the others joining the event. They are all people who have been touched by a transplant or donated their loved one’s organs and tissues. Clegg wants people to know what a difference an organ donation can make, as well as showing patients that life carries on after a transplant. “You can still have a life with organ donation,” said Clegg, 27. Find out more about the event at testyourlimits.ca/skydivingforandrea.

Transplant survivor Dana Trude, a heart and lung transplant recipient, will skydive from an aircraft for another recipient.

Melissa Tait/Record staff file photo

June 2011 Issue

HOPE NEWSLETTER June 2011 Issue

Final Notes Thank you to everyone who submitted articles. Many people have responded saying they truly enjoy reading people’s stories. The next newsletter will be in September. If you have received this newsletter and do not wish to continue receiving it, please contact me at annmcguire@rogers.com or 416-233-3614, and I will take you off my contact list. If you know someone who would like to receive it, please send his or her e-mail address to me. Best wishes to all of you for a rejuvenating and relaxing summer. Don’t forget the sunscreen! Remember you too can save lives by registering your consent to be a donor (www.beadonor.ca) and discussing your wishes with your family.

Save the Date - Annual Lung Transplant Christmas Party Wed. December 7th, 2011 I know we’ve hardly had summer yet, but, please mark in your calendars the date of this year’s Christmas Party – Wed. Dec. 7th, 2011 from 10:00am to 1:30pm. More information will follow in our fall newsletters.

2nd ANNUAL GOLF TOURNAMENT ANGUS GLEN GOLF CLUB

to support Pulmonary Fibrosis research

SEPTEMBER 15, 2011, 1:00 pm SHOTGUN

Golf the North Course playing your own ball;

Hole-in-one car and cash prize opportunities; closest to the pin.

$250.00 per golfer. Includes Locker facilities; Use of driving range;

Welcome bag; Lunch, Golf and Dinner - Limited to 144 golfers

Dinner only guests; $75.00.

To register go to www.cpff.ca or contact Robert Davidson at

Robert@cpff.ca or 905 294 7645

Register and pay by July 15 to enter the Early Bird Draw for a

chance to win a foursome at Angus Glen Golf Club

It is expected that we will issue a tax receipt for approximately $40 for the golf and $20 for dinner only

Charitable Regn. # 8505554 858RR0001

CANADIAN PULMONARY FIBROSIS FOUNDATION47 Squire Bakers Lane, Markham, Ontario, L3P 3G8

Tel: 905 294 7645 www.cpff.ca

Charitable Registration number 850554858 RR0001.

INVOICECPFF Golf Tournament, September 15, 2011. 1;00pm shotgun

Company name/name:

Address:

e mail address

Date: 2011

# of golfers

Golf tickets golfers X $250.00 PLease attach a list of names - see below

Sponsorship Platinum $5,000.00 }

Gold $3,000.00 } Please attach an EPS, PDF or AI file of your logo and text

Silver $1,500.00 } or a High Resolution JPG file of your logo and required text

Hole $500.00 } for Sponsor banners or Hole sponsor signs as appropriate

Hole sponsor - memorium $500.00 Tax receipt issued for $475.00 for memoriums

Invite a guest for Dinner diners X $75.00

HST 13% exempt

Please pay this amount Total $

The Silent and Live Auctions and raffle play a major role in contributing to the Charitable work of the Foundation. Please consider a prizedonation to help make the 2011 tournament the best ever.. Thank you. Give us a call and we can pick up donated prizes

Please complete and send or fax (905 294 7645) a copy of this invoice with your payment. by cheque, Visa or Mastercard or e mail to robert@cpff.caPrint or make a copy for your files

I prefer to pay by Visa Mastercard

Card number________________________________________ Expiry Date_____________________

Name on Card____________________________________________ Signature____________________________________________

CANADIAN PULMONARY FIBROSIS FOUNDATION

Company name, if applicable ________________________________________________________

List of golfers for September 15, 2011 tournament at Angus Glen

Golfer's names Dinner guest names e mail address

Return this list with your invoice and payment to the Foundation

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