Saturday, October 19, 2019 - 5:30PM Knights of Columbus Hall, Trenton - presents - TMH Foundation
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Greetings from the Gala Committee Chairs Don’t be late for a very important date! Welcome to the Mad Hatter’s Ball, presented by Scotiabank. Enter the magic of Lewis Carroll’s classic, Alice in Wonderland. Grin like the Cheshire Cat while being astounded by the many “fairy tale” silent and live auction items awaiting your generous bids. Keep in mind that Lewis Carroll was also a mathematician and would be impressed by the total of the funds raised tonight which will help purchase a new ultrasound machine. Listen to music from the popular band, The Fade Kings. Back by popular demand, your Master of Ceremonies for the evening is none other than “The Mad Hatter” himself, Darcy Elder. Darcy’s attire and quick wit will keep you on edge and guide you through the evening’s activities. This evening’s British-themed dinner is most certainly delicious and will send your taste buds soaring. It will be followed by a “Tick Tock” dessert and accompanied by fine wines. Thanks to the members of the gala committee who have worked many hours to make this evening a success. We thank our sponsors, donors and partners for their continued generous support of Trenton Memorial Hospital. We are proud of our hospital and staff and the care they provide. Don’t fall down the Rabbit Hole. Have a wonderful time in Wonderland! Thank you all for being a part of this wonderful night. Lynn Lake Jennifer Rainbird Gala Committee Co-Chair Gala Committee Co-Chair 3
The Cause When a physician is tasked with diagnosing a patient’s symptoms, they may require an ultrasound to help them do so. It uses sound waves to look at organs and structures inside of the body. It can measure blood flow to detect blockages, such as clots in the arteries and veins of the abdomen, arms, legs, neck, brain or other body organs. It can also assess organ damage following illness or evaluate symptoms of pain, swelling or infection, or detect tumours or congenital vascular malformations. An ultrasound allows doctors to see problems with organs (such as the gall bladder, liver, kidneys, pancreas, appendix, ovaries and bladder), vessels and tissues, without needing to make an incision. Physicians may be able to diagnose a variety of heart conditions, including valve problems and congestive heart failure, as well as assess damage after a heart attack. They can also monitor the growth of a fetus. At Trenton Memorial Hospital, approximately 9,000 ultrasound examinations are done annually. Ultrasounds are safe and easy as there is no exposure to radiation to the patient, and they are quick to administer. The cost of a new Ultrasound for the Diagnostic Imaging Department is $183,000. Your support is critically needed to fund this equipment, as the government only helps with operating costs. Please consider this when bidding. 4
Evening Events Darcy Elder, Master of Ceremonies Cocktail reception at 5:30 PM Silent auction opens at 5:30 PM Dinner seating at 6:45 PM Dinner served at 7 PM Live auction with Boyd Sullivan Home Store Closes 9:15 PM Man Cave Closes 9:30 PM Ladies Lair & Sports Closes 9:45 PM Get Aways Closes 10:00 PM Electronics Store Closes 10:00 PM The evening’s entertainment provided by The Fade Kings PLEASE NOTE: • Your FREE formal photo will be taken in the small hall from 5:30. • Should you wish alternate photos, the booth will remain open until 8:30pm. • Taxi chits are available at the bar, should you prefer not to drive home. • To run a bar tab and/or for quick departure after the event with your purchases, please provide credit card information for you and your guests to Lynn Thibedeau at 613-392-2540 ext. 5401 in advance or provide it to her at the beginning of the evening of the 19th. 5
Mad Hatter’s Ball It’s most certainly delicious and will send your taste buds, down the Rabbit Hole and into Wonderland! Canapes White Rabbit’s take on Welsh Rarebit Alice’s Favourite Cream Cheese and Cucumber Tea Sandwich Cheshire Cat Grinning about Mini Beef Wellington The Queen’s Pot of Soup Curried to Perfection Butternut Squash, Assorted Rolls and Butter Wonderland Menu Hatter is Mad About Mouth Watering Beef Tenderloin Cognac Peppercorn au Jus White Queen’s Yorkshire Pudding March Hare Roast Garlic Mashed Potato Tulgey Wood Tri-Coloured Heritage Beets Dormouse’s Delicious Dessert Tick Tock Traditional Sticky Pudding Coffee and Tea Service 6
Wonderland • Queen of Hearts Deca Cables • Harbourfront Wealth Management, Darrell Smith Marinovich Dental • TMH ER Physicians • Aleesha J. Camp L.L.B. Cheshire Cat • Seasons Dufferin Centre • Bonn Law • Smylie’s Independent • Boyer Auto Group • Templeman • Dibbits Excavating • The Cooperators, Paul Moran • Drossbach • Trent Valley Lodge • Electro Cables • Twin City Investments • Hilden Homes • Vanderlaan Building Products • Klemencic Homes • Weaver Funeral Homes • Stan Klemencic Builders • Dr. David Weinstein • McDougall Insurance • Welch and Company • Mystical Distributing • West City Honda • Physio House • Whitley Financial Services • Research Castings International • Wilkinson and Company • Archer’s Poultry White Rabbit • Mackay Insurance Sean McKinney • Belleville Toyota/Scion • McDonald’s Restaurants, • Salon You • Boeing Quinte West • Staikos Homes • Dr. Bruce Coward • Modern Earthscapes • Dan Thompson L.L.B. • H.A.I. Precision Waterjets • Peter Smith Chevrolet • Dr. Raed Younes • Integrity Corporate Buick Cadillac GMC Dental Care Solutions • Precise ParkLink • Royal LePage, • K.P.M.G. • ReMax Quinte, Pro Alliance Print Sponsor Willow Printing & Publishing Co. • Media Sponsors MY FM 100.9 Oldies • Starboard Communications • Quinte Broadcasting Corporation (Hits 95.5 / Cool 100) (CJBQ / Mix 97 / Rock 107) • UCB Radio • Trentonian • Archer’s Poultry • Honourary Mentions Family Dental Centre • Reid’s Dairy • Boyd Sullivan, • Jeff Baldwin • Tina Marie Furmidge • Wayne and Gail Auctioneer • CAA Southcentral • Jackson Triggs Scaletta • Catherine Temple Ontario Winery • Sean Scally • Van Tuckey • Mike Cowan • Dr. Stephen • Scotiabank • TMH Auxiliary • Dr. Andrew Davies Kaladeen • Stirling Creamery • Trenton Metals • Darcy Elder, MC • Pritchard’s • St. Peter’s Knights of • Wilkinson Financial • Peter Elston Decorating Columbus • YSM Photography 7
Live Auction 1. Fan Favourites Be our guest in the CAA corporate box at centre ice for 12 people for the Belleville Senators vs. Toronto Marlies on Saturday, February 7th, 2020. Included is a $500 gift certificate for yummy treats as you enjoy this classic rivalry. This is a great chance to entertain your BFF’s or celebrate a special occasion. Donated by CAA 2. Gala Glamour 2020 Get a head start on planning for next year’s TMHF gala. This package includes 2 tickets to the gala, limousine ride for up to 4 people within a 50-km radius, a $200 gift certificate toward a minimum $400 purchase of the perfect evening gown, fabulous beauty package including a spa day and many extras to add to your glamorous look. Donated by A-1 Limousine, Emma’s Bridal Salon and Salon You 3. Diamonds are Forever Custom designed diamond pendant by master jeweller, Steve Marshman. This one-of-a-kind piece will be treasured for years to come. Donated by Steve Marshman Fine Jewellery and Custom Design 4. Backyard Oasis Bring the ultimate ambiance and beauty to your patio or deck with this chic elegant linear fire pit then gather around and relax on the outdoor wicker sofa with comfy cushions. This also includes outdoor lanterns to add twinkle to the night. Donated by Dow’s Climate Care, Hollandale Landscaping and Nursery Centre and Lottie Jones Florist 8
5. A Day in the Life Experience these 3 fabulous, fun opportunities. • CSI Quinte West with a tour for 4 people at OPP Quinte West’s Forensic Unit • A tour of the new fire station and dinner for 4 guests hosted by Quinte West Fire Department • Lunch with Mayor Harrison and a tour of Quinte West in the afternoon for 3 people Donated by Ontario Provincial Police, Quinte West Fire Department and City of Quinte West 6. Centre Ice You and 3 guests will enjoy watching the game from the Post Media box on Friday, February 7th, 2020. The Anaheim Ducks play the Toronto Maple Leafs. Includes snacks. Go Leafs, Go!!! Donated by Post Media 7. Live Like a King The beautiful Kings Inn Bed and Breakfast in Trenton, a haven of luxury, will be your “castle” for the night. Gourmet chef and owner, Pierre Lauzer, and his wife Candy will treat 3 couples to a magical experience. On arrival, enjoy hors d’ouevres and musical entertainment by guitarist Kevin Weaver to set the mood. A multi-course culinary adventure prepared by Chef Pierre will follow, accompanied by fine wines. No need to rush, as you will be luxuriating in the elegantly appointed guest rooms overnight. When you arise the next morning, relax of a delicious gourmet breakfast with mimosas to toast a night to remember. **Valid from December 1 – May 31, excluding December 21, 2019 – January 5, 2020 Donated by Pierre and Candy Lauzer, Aleesha Camp, Farmer’s Market Butcher Shop, Glenn and Jennifer Rainbird and Kevin Weaver 9
8. Groovy Garden Grillin’ This is the ultimate package to help you entertain in style. Relax in 2 contemporary, sleek designed loungers with inflatable cushions along with a matching side table. These chairs can even float in the pool! Add soft lighting with 2 metal light towers, commissioned and designed by you, and made by Horizon Metal Works. Top it off with a P.K. Grill and Smoker which will elevate your cooking skills to the highest, assisted by delicious, tender cuts from our local butcher. Make it a celebration with a firework display to end the night. Donated by ClearWater Design, Fireplace Specialties Belleville, Horizon Metal Works, Farmer’s Market Butcher Shop and Mystical Distributing 9. Chicago Is... Home to the Chicago Blackhawks NHL team who will be hosting the Toronto Maple Leafs on Sunday, November 10, 2019. You will have 4 premium seats to enjoy the game and a signed Patrick Kane jersey as a treasured memento. As it is a long weekend, go early, stay through Monday and enjoy all Chicago has to offer – deep-dish pizza, shopping, museums. To get you started, a $500 Air Canada gift card is included. Donated by Dr. Nicolette Leone 10. The Sea is Calling Timeless elegance of ocean travel can be yours on Holland America Line’s classic ships. Enjoy exploring anywhere in the world that they sail to for up to 12 days in an ocean view room. So many places to explore – what is on your bucket list? Package includes overnight accommodations at Hilton Garden Inn Toronto Airport. **Important note. Successful bidder must pay taxes, port charges, any upgrade fees. No expiry date. Certificate is transferrable. Value based on current brochure price. Donated John and Sally Tripp, Hilton Garden Inn Toronto Airport 10
11. London Calling! Oh, to be in England – anytime! Fly to London on WestJet’s new Dreamliner and check into your home for 3 nights, the beautifully refurbished Grosvenor Hotel on Buckingham Palace Road. Your stay includes complimentary breakfast for 2 and room upgrade, if available. The London hop on/hop off bus pass for 2 is the perfect way to explore this incredible city. The icing on the cake is a 500 British pound gift card for the Orient Express Belmond British Pullman luxury vintage train. Use it for an afternoon tea journey through the English countryside or a choice of many other once-in-a-lifetime journeys (additional costs may be incurred). Two pieces of luggage allow you to travel in style. This package also includes a basket of British-themed items and treats. ** Blackout dates apply to WestJet and fees, taxes and surcharges are the responsibility of the guests traveling. Travel must be completed by October 31st, 2020. Donated by CAA Belleville, Eben James Jr., WestJet 12. Unbe-Leaf-able Experience This exclusive fan experience for 2 people is courtesy of Maple Leaf Sports and Entertainment. The die-hard fan will attend the morning skate followed by lunch at The Real Sports Bar and Grill. Dinner before the game will be enjoyed at the exclusive ScotiaClub, then take your seats in the lower bowl section, donated by the President and CEO of the Toronto Maple Leafs. A few surprises may be included in this once- in-a-lifetime day. Stay at the luxurious and hip Hotel St. Germain Maple Leaf Square for one night. The date of the game is during the regular season and to be mutually chosen between the successful bidder and Maple Leaf Sports and Entertainment. Donated by Maple Leaf Sports and Entertainment and St. Germain Hotels 11
ULTRASOUND MACHINE: 1 needed at a cost of $183,213 WHAT DOES IT DO? An ultrasound machine creates images of soft tissue structures inside the body so they can be examined. It can also measure the flow of blood in the arteries to detect blockages in their arteries and veins of the abdomen, arms, legs, neck, brain or other body organs. They are often used to assess organ damage following illness or to evaluate symptoms of pain, swelling or infection. Ultrasounds are safe and easy to have. There is no exposure to radiation. HOW DOES IT TAKE IMAGES? The machine sends out high-frequency sound waves, which reflect off body structures. A computer receives the waves and uses them to create a picture. WHAT DOES THE ULTRASOUND HELP TO DIAGNOSE? An ultrasound allows doctors to see problems with organs, vessels and tissues without needing to make an incision; organs such as the gall bladder, liver, kidneys, pancreas, appendix ovaries, and bladder. WHAT DOES THE ULTRASOUND HELP THE PHYSICIAN SEE? • Blockages to blood flow, such as clots, greater than normal blood flow • Narrowing of blood vessels, Reduced or absent blood flow to various organs • Tumors or congenital vascular malformations • Can help guide needle biopsies to remove cells from an abnormal area • Diagnose a variety of heart conditions, including valve problems and congestive heart failure, to assess damage after a heart attack • Monitor growth of fetus etc . L AW Y E R S WHY ULTRASOUND VS. XRAY: Ultrasounds can see fluid build-up in a chest or abdomen. 205 Dundas St. East, Suite 200 Where an x-ray may show an enlarged Belleville, ON, K8N 5A2 heart, the ultrasound would show the thickness of the heart walls. T. 613-966-2620 F. 613-966-2866 www.tmlegal.ca Ultrasounds are good for internal organs, where CT Scan is better for bony structures Ultrasounds and MRI are similar, but ultrasounds are faster, good for those claustrophobic, and those who cannot have dye contrast, and less expensive. HOW OFTEN IS AN ULTRASOUND USED AT TMH? In 2018/19 there were nearly 9000 ultrasounds, which was an increase of 3% from the previous year and 49% increase since 2014/15. 12
HELPING YOU play the right cards Proud to be a Part BONN of our community and to suPPort tmHf LAW Trenton Belleville 613-392-9207 613-771-0600 bonnlaw.ca Weaver Family Funeral Homes, TrenTon lTd. www.weaverfuneralhomes.com Trenton Memorial Hospital Emergency Department Physician Group Proud to suPPort the trenton MeMorial hosPital Foundation and 2019 Mad hat ter’s Ball Gal a 13
DREAM Retirement Community BIG. Enjoy a worry-free Dreams do lifestyle, surrounded by people who come true. truly care. Visit our yard to get started on 613-965-1717 your next project. 344 Dufferin Ave., Trenton Dibbits.ca seasonsretirement.com 613.394.3478 Excavating & Landscape Supply 14
Distributing Company Ltd. DR. WEINSTEIN Nephrology, practicing in Nephrology and Hypertension Proud to support We are passionate about supporting the The Trenton TMH Foundation Memorial Hospital and the - and the Mad Hatter’s Ball Mad Hatter’s Ball 10 S FRONT ST, BELLEVILLE 613-779-6550 BRIGHTON OFFICE 24 Prince Edward St. 613-475-2421 TRENTON OFFICE 106 Division St. 613-392-5560 15
RA OPE TED B & ED Y OWN S LIE’ SMY S UR YO O UR B N EIG H Proud to support Trenton Memorial Proud to Support Hospital Foundation Trenton Memorial Hospital and its Mad Hatter's Ball 293 Dundas Street East, Trenton, ON 613-392-0297 drossbach.com PROUD SUPPORTER OF COMMUNITY HEALTHCARE 670 Dundas Street West, Belleville, ON K8N 4Z2 613-962-9513 | 877-269-4400 westcityhonda.ca FA M I LY O W N E D & O P E R AT E D S I N C E 1975 16
Best wishes for a highly successful event ALL YOUR HEALTH NEEDS UNDER ONE ROOF Physiotherapy, Chiropractic, Acupuncture, Orthotics, Shockwave & Massage Physiohouse trenton 24 Dundas St. East 613-651-1577 trenton@physiohouse.ca Physiohouse Belleville 210 Dundas St. East Unit 106 www.klemencichomes.com 613-554-9923 613-392-7839 belleville@physiohouse.ca Direct Billing & Free Parking 613-962-4600 Meet the Physiohouse teaM & Book online at www.hildenhomes.com WWW.Physiohouse.Ca Getting overwhelmed with your investments? Complexity Simplified Embodying a philosophy of independent, unbiased advice with an unwavering commitment to delivering true wealth management. harbourfrontwealth.com DARRELL SMITH dsmith@harbourfrontwealth.com 17
TAXES Driving you Mad? The tax team at Welch LLP can help! Welchllp.com Proud to support our community. We’re committed to helping out where we can, and proud to support initiatives that make a difference in the community. ver te It’s neto o la to map out the future of Home Auto Life Investments Group Business Farm Travel PaulMoran, CHS, CIP your business Financial Advisor Paul Moran Insurance Group Inc 17538B HWY 2 | Trenton 613-392-3501 | www.cooperators.ca/Paul-Moran www.wilkinson.net Not all products available in all provinces. 613.392.2592 18
For everything under your roof, you need what’s under ours. At Whitley Insurance and Financial Services we ensure you are covered with the right insurance for Auto, Home, Business, Watercraft, Recreational vehicles and Farm, and can also integrate your asset values with the appropriate life insurance and investments. Proud Sponsors Home Business of Trenton Memorial Hospital Foundation’s Vehicles Mad Hatter’s Ball Life Auto Farm Take a look at what you have and call us for the protection and financial security you need. Call your Whitley advisor today and let us put your mind at ease. Whitley Insurance & Financial Services Belleville: 613 966 1711 | Trenton: 613 392 1283 whitleyfinancial.com Proud Member Proud to support Trenton Memorial and Supporter Hospital Foundation of our Community for over 35 Years Congratulations on another successful event! 499 Dundas St West, Trenton 613-962-4600 613-392-7839 www.hildenhomes.com www.klemencicproperties.com 19
Auction Thank Yous Aleesha Camp LL.B Huff Estates Raptors MLSE Amer Sports iDesigns Optical Rocia Skin Care Angry Birds Rotisserie Chicken Isaiah Tubbs RONA Trenton AMA Waterways J.H. Porte Royal Ontario Museum Orchard Lane Development J’s Glow Spa Rustic Routes Corporation Jeff Baldwin Salon Eleven Hair Company Archer’s Poultry Jenna Faye Photography Salon You Armstrong Glassworks Jim and Wendy Parker Sandbanks Winery Barcovan Golf Course John and Sally Tripp John Sherratt – Cool 100/955 Bardon Supplies Hits FM Karlo Estates Barley Days Brewery Shoppers Drug Mart Trenton Kat’s Creations Batawa Ski Hill Signal Brewery Kaycee’s Nook Bay of Quinte Golf and Country Ste. Anne’s Spa Krahn Outdoor Club Steam Whistle Brewing Co. Krown Rust Control Bayview Family Golf Centre Stewart Hull Lafferty’s Mens Wear Beams Lighting Stinson Woodworking Leo Phillips Beauty Works Day Spa Stirling Festival Theatre Maple Dale Cheese Best Western Plus Cobourg Studio B. Maple Leaf Sports and Black Bear Ridge Golf Course Entertainment Sweetpea383 Bloomfield Bicycle Company Mariposa Cruises TD Bank Blush Floral McDonald’s Trenton The Clann Shoppe Breakout Belleville Mrs. B’s Country Candy The CN Tower Brimacombe Ski Hill Mystical Distributing The County Wine Tours CAA Belleville National Arts Centre The Dressing Room Canadian Museum of Nature National Ballet of Canada The Frock Shop Canadian Tire Trenton National Car Rental The Grange Centre Theatre National Gallery of Canada The Hard Way Cider Company City of Belleville Niagara Clifton Group The Right Fit County Cider Company Niagara Parks Commission The Sand and Pearl CrossFit Trenton Niagara Wineries The Shoe Store Dahlia May Farms Nineteen Restaurant The Westin Harbour Castle Delta Toronto Hotel North Hero House The Woodlawn Inn Dewmill’s Event Rentals Northumberland Culinary Tina-Marie Furmidge Doug’s Bicycles Novotel Hotel Ottawa Tomasso’s Earl and Angelo’s Steakhouse Oak Hills Golf Club Tommy Trinh, Scotiabank Assets Eyes N’ Optics Management Oasis Backyard Living Fitz & Follwell Co Trenton Golf Course Off the Hook Frantic Farms Trenton Tennis and Raquet Club OK Tire Frozen in Time Trinity Family Dental Olivia Flegg - RMT Georgia Rogers Van Tuckey Papa John’s Glenn and Jennifer Rainbird VIA Rail Paris Nails Goodyear Trenton Vivacious Parson’s Cleaners H. D. Rolf the Jeweller Warkworth Golf Course Peter Elston LL.B Hamilton Beach Wayne and Gail Scaletta Polish Day Spa Heather Williams Wendy Warner Quinte Art and Custom Frame Hilton Niagara Fallsview Wild Card Brewing Co. Quinte CPAP Hockey Hall of Fame Williams Hotels Quinte Hills Golf Course Home Depot YMCA Quinte Mall Home Hardware, Trenton YSM Photography Quinte Rowing Club Hornblower Niagara Cruises Quinte Studios 20
A local donor will match every dollar you donate up to $50,000. • IV Pumps deliver insulin, antibiotics, pain relievers, as well as critical fluids & treatments for cardiac episodes, traumas and blood transfusions. • New IV Pumps will be SMART! (WIFI) and reduce medication errors. We NEED 67 IV pumps! You can help us TONIGHT! Proud to support TMHF Don’t be late – insulate! Business Cards Banners invoiCes Letterhead Windows, doors and siding too! notepads LaBeLs enveLopes Logo design Laminating BroChures digitaL Copies CheQues raffLe TiCkeTs posters newsLeTTers Bookmarks magazines Canvas PrinTs & muCh more Building Products Ltd. Office: 613-475-2927 13 LoyaList Drive, Brighton, on K0K 1h0 TOll free: 1-800-339-5662 www.willowpublishing.com Ph. 613-475-3684 | Fax 613-475-4685 sales@vanderlaanbuilding.com info@willowpublishing.com www.vanderlaanbuilding.com LIKE US ON FACEBOOK! /willowpublishing 21
32 Millennium Pkwy 28 Millennium Pkwy Belleville,ON Belleville,ON 613-968-9559 613-962-7100 baysubaru.com bellevillenissan.com EXCEPTIONAL TENANT CARE t 613-392-6539 f 613-392-6099 e twincity@twincityrentals.ca www.twincityrentals.ca 19 Frankford Crescent, P.O. Box 579 Station Main Trenton, Ontario K8V 5R7 60 Millennium Pkwy 60 Millennium Pkwy Belleville,ON Belleville,ON 613-966-9990 613-962-9236 boyerkia.com baymazda.com Dr. Sue Marin Dr. John Mari Dr. Andrew H 246 Dundas Street East, Trenton, ON 257 ON K8V K8V 1L9 1M1 P. 613.392.3939 F. 613.392.6575 CELEBRATING OUR W. marinovichdental.com e. info@marinovichdental.com 25TH ANNIVERSARY IN THE QUINTE AREA Call Us To Book An Appointment Today! 613-392-3939 246 Dundas St E, Trenton info@marinovichdental.com MarinovichDental.com 22
Thank You From Trenton Memorial Hospital Foundation Board of Directors Darrell Smith - Chair Dr. Ashley Minuk Phil Wild – Past Chair Pam Pettigrew, Ex-O Paul Ferguson – Vice Chair Major Andrea Seaby, Ex-O Tina-Marie Furmidge – Treasurer John Smylie Aleesha Camp LL.B Peter Webb Gerald Draaistra Stuart Wright, Ex-O Mike Eden Mad Hatter’s Ball Committee Lynn Lake – Co-Chair Chris Leone Jennifer Rainbird – Co-Chair Michelle Mackay Aleesha Camp, LL.B Kari Anne Scaletta Aleesha Cocek Angela Smylie Rhonda Lafosse Catherine Temple Arlene LaRosa Trenton Memorial Hospital Foundation Staff Wendy Warner, CFRE, Jeff Moorhouse, Executive Director Strategic Partnership Officer Lynn Thibedeau, Paula Mason, Physician Recruitment Development Assistant and Retention Coordinator Laura-Lee Bradie, Manager, Events and Stewardship 23
Didn’t Get That Special Auction Item? You can still support excellent health care close to home and the Future Care Fund of Trenton Memorial Hospital Foundation. Name:____________________________________________________________________________ (please print) Address:__________________________________________________________________________ City:_____________________________ Province: ____________ Postal Code:_______________ Telephone No.: ____________________________________________________________________ E-mail: ___________________________________________________________________________ Option 1: SINGLE GIFT I’d like to make a single gift of: $100 $200 $500 Other__________________________________________________ Option 2: MONTHLY GIFT I’d like to make a monthly gift of $__________________________________________________ I’ve enclosed a cheque marked VOID or I prefer to use my credit card Payment Method: I’ve enclosed a cheque I’d prefer to use my credit card (Void, if for monthly) Card Number:_______________________________________________ Expiry:_______________ Signature:_________________________________________________________________________ I will mail to the TMH Foundation Option 3: Gift of Points I would like to donate my Air Miles I would like to donate my Starwood/ Intercontinental/Other Hotel Points I would like to donate my Aeroplan points For recognition purposes, please record my/our name(s) as: _________________________________________________________________________________ I/We wish to remain anonymous Please return this form to the auction checkout desk or by mail to: Trenton Memorial Hospital Foundation, 242 King Street, Trenton, ON K8V 5S6 CRA 11926 8860 RR0001
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