Winter 2016 • Vol. 29, Issue 1
Transcription
Winter 2016 • Vol. 29, Issue 1
CHF OFFICIAL WEBSITE WWW.COLLIEHEALTH.ORG WINTER 2016 Volume 29 Issue 1 OFFICERS "…TO FOSTER AND PROMOTE THE STUDY OF AND RESEARCH ON THE… PARTICULAR PROBLEMS OF COLLIES… Gerrie Oliver President Cindi Bossart, VMD Vice President Robette Johns Vice President Nancy McDonald Treasurer Mary Hunter Secretary BOARD OF DIRECTORS The Officers and William K. Brokken, MD Barbara Cleek David Hansen, DVM Krista Hansen Helga Kane Gayle Kaye Nancy Kelso, DVM Debbie Holland Pat Jung Nancy Van Note Membership Chair: Nancy Van Note Newsletter Editor: Mary Hunter From the President, Gerrie Oliver 60 Columbus Ave, Closter, NJ 07624-2455 Phone: 201-768-1282/Email: [email protected] I’m sure you are busy getting your dogs ready and making plans for the upcoming National in Louisville. Be sure to add to your list plans to attend the CHF Southern Smokehouse Buffet and entertaining Live Auction on Thursday, March 24th. There are some wonderful items for bid and, in keeping with this year’s theme, there is even a set of Kentucky Derby Glasses at auction which were donated by Dr. Richard Greathouse himself! In addition, Rebecca Connors, LVT, VCPL, Washington State University, will speak about the MDR1 Gene, the “dangerous drug” list and how to protect your collie. Rebecca is a graduate of the Veterinary Technology program at Michigan State University, with experience in neurology and cardiology. She joined Dr. Katrina Mealey at WSU in 2011 and has enjoyed working in genetics. I hope you will be able to join us before the dinner to meet Rebecca and learn more. Wednesday, Thursday and Friday mornings the CHF Silent Auctions will be set up near the ring with hundreds of great items. There is sure to be something there that you just have to have! Also, besides the ever-popular pin brushes, CHF Promotions team will be selling Mutt Mats, CHF Cutting Boards, Mail Box Toppers and new Ringside Bags and towels plus much more. The Corporator elections are complete. With special thanks to Chairman Ginny White and the Election Committee Members Frances Current and Jack White for their hard work, I am very pleased to present the new CHF Class of 2020: Cindi Bossart, VMD, Gail Currie, Susan DeLorenzo, Babbi Dilbeck, DVM, Roz Durham, Chandra Flaim, Alisha Harbin, DVM, Debbie Holland, Mary Hunter, Leslie Jeszewski, Robette Johns, Pat Jung, Kate Long, Erin Matthews, Nancy McDonald, Grant Merrill, Pati Merrill, Lori Montero, Marie Mullin, Lynn Myers, Kelly Neeley, Eva Marie Taylor and Nancy Van Note. I extend my deep appreciation for those Corporators in CHF Class of 2018 who continue to serve: Karen Anderson, Michele Brane, William K. Brokken, MD, Leslie Canavan, continued on Page 2 President’s Message (continued from page 1) Barbara Cleek, Yvonne Evans-Wynn, Amy Gau, Erin Gorney, David Hansen, DVM, Krista Hansen, Rayleen Hendrix, Helga Kane, Gayle Kaye, Nancy Kelso, VMD, Heidi Mendez, Hildy Morgan and Pat Rosenbaum. And, last but not least, I offer my most sincere appreciation to the outgoing CHF Class of 2016: Phyllis Autrey, Deborah Falk, Sue Floyd, VMD, Bob Futh, Sally Futh, Laurie Jeff Greer, Jan Hedrick, Janet Hitt, Tom Hoadley, Bob Kelly and Carmen Leonard. Your contributions will not be forgotten and your continued dedication to the Foundation most welcome. This year CHF celebrates its 30th Anniversary! We enjoy a proud history of dedicated individuals who had the foresight to invest in the future of our breed. It has been an honor to lead CHF to this milestone. I can’t wait to see what the next thirty years will bring. Thanks for everything you do to help us grow! Gerrie 2 3 Collie Health Foundation 2015 Balance Sheet As of December 31, 2015 Dec 31, 15 ASSETS Current Assets Checking/Savings 11000 · Bank Of America Operating 12000 · Bank Of America Money Market 13000 · Paypal 15000 · Wachovia - Hilda Rickenbaugh 16000 · Vanguard Artz Bequest 40,766.89 81,459.04 13,244.37 12,903.43 84,331.03 Total Checking/Savings 232,704.76 Other Current Assets 14000 · UBS assets 14100 · UBS Money Market 14200 · UBS accts 14300 - Equities 438,283.48 69,862.81 550.48 Total 14000 · UBS assets 508,696.77 Total Other Current Assets 508,696.77 Total Current Assets 741,401.53 Other Assets 18000 · Investment 18500 · Promo Items Inventory 18700 · prepaid expenses 18800 · Veteran medallions 1,421.50 5,012.66 250.00 4,400.16 Total Other Assets 11,084.32 TOTAL ASSETS 752,485.85 LIABILITIES & EQUITY Liabilities Current Liabilities Other Current Liabilities 20000 · Liabilities 20040 · Memberships 20041 · Individual Membership 20042 · Family Membership 20043 · Sustaining Membership 20044 · Patron Membership 20045 · Benefactor Membership Total 20040 · Memberships 7,475.00 3,920.00 5,100.00 1,000.00 4,000.00 21,495.00 20000 · Liabilities - Other 475.00 Total 20000 · Liabilities 21,970.00 Total Other Current Liabilities 21,970.00 Total Current Liabilities 21,970.00 Total Liabilities 21,970.00 Equity 30000 · Opening Balance Equity 32000 · Unrestricted Net Assets Net Income 685,216.73 34,779.41 10,519.71 Total Equity 730,515.85 TOTAL LIABILITIES & EQUITY 752,485.85 4 Speaker/Cocktails/Dinner/Live Auction! - Thursday March 24, 2016 Don’t miss one of the most spectacular events of the year! If you have never been to one of our dinners and live auctions, you should make this year the first. Those who have joined us before know how much fun we have and what great items you can take home from the auction. This year is no exception. There are many wonderful things that will be available. CHF has been given donations of unique and hard to find items. See the following page for a partial list and pictures of some of the items and information on making reservations. COCKTAIL RECEPTION (CASH BAR) & SPEAKER: Rebecca Connors LVT, Veterinary Clinical Pharmacology Laboratory at Washington State University, will present vital information on the MDR1 Gene, the “dangerous drug” list and how to protect your Collie. A MUST ATTEND. Open to all. DINNER: Southern Smokehouse Buffet, $47 per Person 12 hour smoked beef brisket with barbecue bourbon glaze, mustard and sweet vinegar barbeque sauces Smoked pulled pork with creamy coleslaw and onion rolls Macaroni and cheese, au gratin potatoes, mashed potatoes, and baked beans Roasted corn and poblano salad Green salad, grape tomatoes, red onion and cucumbers with buttermilk ranch and red wine vinaigrette Parker house rolls and cornbread with butter and honey Southern peach cobbler and baked apple crisp with vanilla bean ice cream Coffee and selection of herbal tea FOR FURTHER INFORMATION REGARDING DINNER AND/OR AUCTION, CONTACT: Robette Johns, 6976 Coyote Trail, Oak Hills, CA 92344, 704-219-8277 [email protected] Can you give us a couple of hours of your time? No experience or talent needed – just a smiling face and willingness to contribute to better Collie health. Help at the night auction, help at the day auctions, promote logo items or just be there to answer questions about the Foundation’s activities. Email any of the following individuals to sign up! Night auction/dinner – [email protected] (Robette Johns) Day auctions – [email protected] (Pati Merrill) Promotions - [email protected] (Chandra Flaim) Thursday Program/General Help – [email protected] (Gerrie Oliver) 5 6 Vesicular Cutaneous Lupus Erythematosus in Dogs Note: VCLE is an ulcerative skin condition sometimes seen in collies. Symptoms include skin ulceration in the groin, skin of the abdomen, arm pits, lips and ears. The Collie Health Foundation received the following from a researcher at the College of Veterinary Medicine at the University of Georgia who is writing a paper on a therapeutic approach of vesicular cutaneous lupus erythematosus in collies and shelties. They have sampled 11 cases during the last 4 years and say it is a very severe skin disease and very hard to treat. The researchers are interested in knowing how commonly breeders see this disease in their dogs. The assumption is that the disease is not common but in case they are missing a lot of cases they are reaching out to breeders/owners. Vesicular Cutaneous Lupus Erythematosus in Dogs Introduction Vesicular cutaneous lupus erythematosus (VCLE) is a variant form of cutaneous lupus erythematosus (CLE) that affects predominantly adult rough collies, Shetland sheepdogs and Border collies. Distinctive cutaneous lesions consist of annular, polycyclic and/or serpiginous erosions and ulcerations, primarily affecting the axillae, ventral abdomen and groin with frequent involvement of mucocutaneous junctions and the concave aspects of the pinnae. Microscopic changes (skin biopsy) in dogs with VCLE reveal a lymphocyte-rich interface dermatitis with evidence of basal keratinocyte apoptosis, a pathology typical of CLE. Figure 1a,b. 1—Photographs of ventral aspect of the abdomen (a) and the left inguinal region (b) of a 7.5-year-old spayed female Shetland Sheepdog. The dog had a several-year history of diffuse erythema with multifocal polycyclic to serpiginous oozing ulcerations (b), characteristic of vesicular cutaneous lupus erythematosus (VCLE). Currently, dogs with VCLE have guarded prognosis with some owners and veterinarians opting for euthanasia as effective treatment based on a large number of cases cannot be recommended. The most successful long-term therapeutic outcome, proposed on results from a case series of 11 VCLE cases, recommends usage of oral immunosuppressive doses of prednisone or methylprednisolone alone or in combination with azathioprine. Unfortunately, complete remission was achieved in only few cases with long-term adverse effects of systemic glucocorticoids being reported in all dogs receiving this therapeutic modality. Recently, single case reports of two 7 dogs diagnosed with VCLE showed excellent response and complete remission with long-term oral ciclosporin treatment. Recently, our retrospective investigation into the treatment of this sometimes debilitating skin disease in 11 dogs using calcineurin inhibitors, such as oral ciclosporin and/or topical tacrolimus, showed that this may be an effective and safe therapeutic option for canine VCLE patients. Our objectives are to investigate the VCLE prevalence in Collies with a further goal of performing genome-wide association study to discover a genomic region linked to VCLE in Collies. Additionally, we would like to try prospectively to evaluate the therapeutic effectiveness and any associated side effects of systemic and/or topical calcineurin inhibitors as well as hydroxychloroquine in the management of canine VCLE patients. Please contact us (email) if your dog has a suspicious (based on history and clinical signs) or confirmed VCLE (based on history, clinical signs and skin biopsy results). Our contact information is: Frane Banovic & Robert Gogal Immunodermatology Laboratory College of Veterinary Medicine 2200 College Station Road University of Georgia 30606, Athens, GA, USA Email: [email protected] DMS Risk Assessment Test and Rebate Offer! The Fall 2015 issue of the Collie Health Foundation’s newsletter included information on a grant to Dr. Leigh Anne Clark of Clemson University to continue working on the genetics of dermatomyositis (DMS). Now, Clemson University is offering a DMS Risk Assessment test at cost for young dogs ($180 per dog). It is three genetic tests in one, and they require expensive enzymes and hours of labor. There are a finite number of tests that can be done for each breed. However, in addition to the testing for young dogs they are testing senior dogs for free right now - up to 2 per breeder. Dogs must be born before Nov 2007 to qualify for the free senior testing. Contact Jacquelyn for questions or [email protected]. The Collie Health Foundation’s Board of Directors has approved a rebate of $120 per test to help breeders/owners with the cost of this test. The rebate is limited to CHF members only but there is no limit on the number of rebates available to a member. The rebates are available for tests purchased through December 31, 2016, retroactive to January 1, 2016. 8 The Collie Health Foundation Welcomes the Following New Members Susan Abraham** Sanborn, NY Greg Baxter Fayetteville, GA Darla Budworth** Hearaldsburg, CA Cheryl Card Centerview, MO Paola Cuppini Argenta, Italy Elizabeth De Souza** Madison, WI Angela Evers** Collinsville, IL Lisa R. Nelson Gemmell Carmichael, CA Mary Ann Harville Siler City, NC Teri Lyn Houliston Berryville, VA Diane Johnston** Woodstock, IL Elizabeth Langsjoen** Ridgecrest, CA Anna Lerch Charlotte, NC Vicki Loucks** Taos, NM Lauri Martin So. Portland, ME Heather Newcomb & Hannah Melissas Torrance, CA Kelley Reppert Painted Post, NY Ashley Williams Schnurer** Alberta, Canada Samuel S. Baker Weatherford, TX Nannette Bollinger Pittsburgh, PA Mary A. Campbell Brooksville, FL Denise Costanten** Bellingham, WA Deborah Dannelly** Commerce, TX Courtney Dowling Eagle River, AK Mara Beth Flood** Campbell Hall, NY Evelyn Godown Newton, NJ Peggy Helminiak San Antonio, TX Robin & Ricky Isbell** Roanoke Rapids, NC Margaret Komosinski** Block Island, RI Patricia Larkin** W. Springfield, MA Dr. Deanna Levenhagen Blaine, MN Catherine Loveridge St. Peter, MN Sharon Mullaney** Lothian, MD Eileen Oswald** Troy, WA Barbara Robinson** Prescott, Ontario, Canada Denise Schroeder** Park Rapids, MN 9 Leigh Bates Mount Orab, OH Becky Brooks Naples, FL Susan Carbee** Suffolk, VA Harry Crain** Barrington, NH Mary B. Davis** St. Joseph, MN Jennifer Duhon Yorkville, IL Carolyn Foreman Omaha, NE Meg Goldsmith Indianapolis, IN Kirsten Hillhouse Fort Collins, CO Tammie Jacobs** Grove City, OH Wendy Lamp Gilbert, AZ Lola Leland Imperial, MO Nancy Litzenberger Lac La Biche, Alberta, Linda Mabus Springfield, IL Sondra K. Myers** Bridgeport, OH Sandra & Thomas Pendro** Pittsburgh, PA Shirley Schaffer Alger, MI Donine Schwartz Steamboat Springs, CO New Members continued Maryalice Smarsh Overland Park, KS Lloyd & Suzanne Steiner Milwaukee, WI Kathleen Trochelman** Hudson, OH Keslie Smith Lebanon, OR Donna Stronk New Lenox, IL Katrina Warsick Hudson, FL Talia Sommer Laramie, WY Marjorie Toohey Montgomery, TX Cynthia Whitenack Portland, IN Note: **indicates previous member…Welcome Back! New Members – October 16, 2016 through February 14, 2016 Donations in Honor/Celebration/Memory General Donations October 16, 2015 – February 14, 2016 Donor In honor/celebration/memory of…. Nancy Anstruther In Memory of Am. Can. CH Tallywood Fashionista Deanne Balutis In Memory of my beloved collies...Brady, Merit, Quincy & Duncan Emily D. Berkley In Honor of Mary Hunter's Birthday Cheryl Bingham In Memory of Morrock's Bodie who was owned and loved by Kathy Buchanan and Dan Sheldon Jeanine Blaner In Memory of Vlad, Ohadi Vladimir CD, RAE, PT, NA, NAJ, NF Nancy Cameron In Memory of Smudge on behalf of Gloria Zopfi Leslie Canavan In Memory of Verna Allen Barbara Cleek In loving and grateful Memory of 3 beautiful blacks: CH Barksdale Lochlaren Liaison, ROM, ROM-P, CH Lochlaren Rosebank Tri Me and CH Marleste Lochlaren Hey There! Ruth Coates In Memory of Simba, Ashanti, Laddie & Ellie-great friends & companions Nancy Comparato In Memory of Shirley DuBois Kevin Covi In Memory of Harmony Great Samson, "Sammy" Barbara Cudzynowski In Memory of CH Tartanside Chorus Girl, CDX, U-COX, ASCA, OAP. Our special girl, we miss you Robert N. & Gail P. Currie In Memory of Shirley DuBois Babbi Dilbeck In Memory of Larry Leonard of Lisara Collies 10 Donations in Honor/Celebration/Memory/General Donations continued October 16, 2015 – February 14, 2016 Cynthia Dunne In Memory of Bonita Ryan from your friends at ECS Solutions Francis & Sharon Edler In Memory of Shirley DuBois Marilyn E. Edwards In Memory of Shirley DuBois Dennis R. & Carol F. Elliott In Memory of Verna Allen; The Heatherfield Collies; Nanci, our grandchildren's beloved collie; Dennis Fyda; Dorothy Welch; in Celebration of reaching their ROM's: CH Southland's Lexington and CH Larkspur Forget Me Not Diane Fanelli In Memory of CH Shannon Valley Like a Song, "Lyric" Deborah Franks In Memory of my first collie and best friend, Maxi P. Elena Geldkop In loving Memory of the amazing CH Barksdale Lochlaren Liason, ROM, ROM-P, "Anthony" P. Elena Geldkop In Memory of CH Glen Iris La Regala, ROM. The "matriarch" of Fantasy Land and my partner in eating french fries! We miss you "Elenita" Angela M. Gillespie & Anne Sinclair Celebrating Paris' 11th Birthday! Deep River Gillespie That's Hot! Ana & Julien Goulet In Memory of Virginia Perry Gardiner Michele A. Hall In Memory of Gryphon and Sailor Brenda Hanssen In Memory of Debbie Orr Arthur & Marci Herrera In loving Memory of Roxy Harriette S. Hickle In Memory of Ritzy & Timber Janet R. Hitt In Memory of Bill and collies Keary, Lindy and Holly Debbie Holland In Memory of Ken Wickersham; Elena, CH Glen Iris La Regala...born a Havanese but a Collie at heart Cindy Hoppe In Memory of Lawrence Leonard by Mike Fucci, Chairman of the Board, Deloitte LLP Jane Howells In Memory of Piper (CH Manordeifi Smart Guy at Southcombe) a true gentleman who will be much missed Hurricane Ridge Kennel Club In Memory of Mary Franden, longtime collie breeder under the name "Silvercloud," agility and obedience enthusiast Anita Hutcheson In Memory of Ms. Shirley DuBois Christine Inouye General Donation Karen Jahnig In Memory of Shirley DuBois, who loved the collie Robette G. Johns In Memory of Shirley DuBois Karin L. Johnson-Page Employee Matching Gift (Waters Corp.) 11 Donations in Honor/Celebration/Memory/General Donations continued October 16, 2015 – February 14, 2016 Susan Joslin In Memory of Pat & Bob Quisenberry, Seigga Collies Robert W. Kelly In Memory of Theresa Uzelac Melanie A. Kerber In Memory of Luke, Beau, Micah & Sonny Judith D. Kirkeby In Memory of Dr. Richard Greathouse Nancy A. Kluesner In Memory of Ranger, Shadow & Crackers Audrey Koble In Memory of my last 2 collies Cody & Libby, and my parents James S. & Irene C. Lackman In Memory of "Teddy", Crispin Lord of the Dance, CDX, RE, TDI, HIC Lake Alfred Animal Hospital PA In Honor of Shirley DuBois Kathleen E. Landis Matching Gift Evancho Laura Lane In Memory of Cody Lane, my best friend Jennifer Lee In Memory of Heatherfield Collies...Bridget, Hart, Pinky, Liberty, Lady, Kasen & Diamond Lola Leland In Memory of Shelana's Wine and Roses, CGC, HIC Ceana (Kena) 12/13/01-10/29/15 Carol A. Lieberman In Memory of Sue Barlow who put the collie first when it counted. Her courage will always be in my heart Kate Long & Kathy Conroy In Memory of Shirley DuBois Carol Martin In Memory of Heather & Candi; In Honor of Cayla & Edward Erin Matthews & Rich Bellows In Memory of Theresa Uzelac Erin Matthews & Rich Bellows In Memory of Theresa Uzelac Erin Matthews & Rich Bellows In Memory of Theresa Uzelac Erin Matthews & Rich Bellows In Memory of Theresa Uzelac Marga Megens General Fund Heidi M. Mendez In Memory of Theresa Uzelac & Billy Ashenbrenner; In Honor of Patricia Starkweather Grant & Pati Merrill In Memory of Shirley DuBois...much love Pati & Grant Merrill Grant & Pati Merrill In Memory of Shirley DuBois...Fondly, Grady, Reagan, Rosie and the sisters Peka and Willow Grant & Pati Merrill In Celebration of Larry Leonard, a wonderful, friendly, loving man who loved Carmen, his girls and his dogs Grant & Pati Merrill In Celebration of the 30th anniversary of CHF, from the 13 yr. old sisters Peka and Willow. Peka demanded her present be sent to CHF-Willow agreed: send Peka's Love from Peka 12 Donations in Honor/Celebration/Memory/General Donations continued October 16, 2015 – February 14, 2016 Mary Mulhern In Memory of Betty Mitchell Beth Nemoff In Memory of CH Lisara's Blues Buster II, "Trevor" Marjorie S. Norstrom In Memory of Richard F. Norstrom Marjorie S. Norstrom In Memory of Richard F. Norstrom Gerrie D. Oliver In Honor of Dr. Bob Gordon, Oakland Animal Hospital for his help at the 2015 Gathering at Sunnybank Kathleen N. Peters In Memory of Dorothy Welsh Phillip A. Pilgram In Memory of Rocky, a loyal Collie friend Margaret E. Pinette In Memory of Lorraine Strait Thomas & Jeanette Poling In Memory of Buddy, beloved collie of Bonnie Pinkston Mary & Rose Robischon In Memory of Shirley DuBois, Sylvan Collies Alan Rubin In Memory of Bonita Ryan John A. & Maria L. Russell In Memory of CH Tango's Lyn Mar Jackpot, "Ace." Thank you for everything you gave us. Each day with you was a joy! Sage Health Services of Indiana, Inc. In Memory of Bonita F. Ryan Candice Sapp-Sabata In Memory of Larry Leonard Carol A. & Donato T. Soranno General Fund Cindy Stratton Honoring Holmhaven Midnight Sun "MacKenzie" BN BN CGC RATI RATO NWI LIC SFI BPDX VC Duane & Melinda Sunnarborg In Memory of Northern California Collie Friends Theresa Uzelac, Fran Coleman & Richard Potter and In Memory of GCH Burlywood Bright & Early, HIC "Michelle" Mary E. Swierkos General Fund Debbie E. Taylor In Memory of Nicholas & Oliver....forever in my heart Audrey A. Tilden In Memory of Rainy Days Blue Knight (Blue) May 13,2001 Aug. 12, 2015 Lawrence S. Uzelac In loving Memory of Theresa Donna J. Walle Corporate Matching Gift Kathryn M. Weare In Memory of Candy Wisneski Kenneth Williams General Fund Kristi B. Wiswell In Memory of my mother, Lorraine Strait Lauren Zarder In Honor of Lisa and Tom Zarder 13 Health Incident/Death Report The Health and Incident/Death Report is back by popular demand after an absence of several years. As before, the report is anonymous, and will only be used to help keep other collie owners informed of possible health problems and help the Foundation seek and select researchers to find causes or solutions to problems that affect the entire collie population. There is an on-line form you can fill out and submit at http://www.colliehealth.org/incident.asp. You can submit either an incident or a death report. You will be asked to describe the occurrence/diagnosis and whether or not the diagnosis was made by a vet. You will be asked to provide: The date of the event The age of the Collie at the time of the event Any type of permanent identification for the Collie if applicable (i.e. microchip or tattoo) The sex, variety and color of the dog Where the dog lives What brand and variety of dog food do you use? What Flea/Tick Control product you use What Heartworm Prevention Product you use What supplements and/or vitamin this Collie received Which vaccinations this Collie had Any activities this Collie is competing in The dog’s breeding history What products were used with this Collie before or that the time of onset of the incident Now that we have the Health Incident/Death Report on our website again, the Collie Health Foundation needs a Corporator to agree to monitor reports, respond to reports when requested (with assistance as needed) and prepare an annual report to the board and for inclusion in the newsletter on the number and type of incidences reported. If this sounds like something you would be interested in doing to help the Foundation, please contact: Nancy McDonald at [email protected] 14 LAD! COLORING OUR WORLD FOR ONE HUNDRED YEARS August 20-21, 2016 Come celebrate the 100th anniversary of the first appearance of Lad in print "His Mate” Red Book Magazine 1916 – 2016 The 20th Annual Gathering at Sunnybank 381 Terhune Drive, Wayne, NJ 0747 SUNNYBANK DAY - SATURDAY COLLIE DAY - SUNDAY SUNNYBANK WALKING TOURS MEMORIAL TRIBUTE LAD IN PRINT & COLORING CONTEST VIRTUES MATCH CANINE GOOD CITIZEN TEST THE GATHERING JUNIOR’S MATCH THERAPY DOG CERTIFICATION LAD MEMORIAL MATCH Banquet Dinner @ Portobello’s Main Floor Dining Room, 155 Ramapo Valley Road, Oakland $38 Advance Reservations OR $48 at Door ◊ Send Check Payable to “CHF” to Gerrie by 8/13 HOLIDAY INN EXPRESS LA QUINTA INN & SUITES 303 Union Ave., Haskell, NJ 07420 Ask for “The Gathering at Sunnybank” Block Rate $93+ Tax, Plus $25 Pet Fee Call 973-839-4405 or Click: http://www.hiexpress.com/redirect?path=hd&brandCode=ex&localeCode=e n®ionCode=1&hotelCode=HSKNJ&_PMID=99801505&GPC=GAS FMI: 1850 Rte. 23 & Ratzer Rd., Wayne, NJ, OR Ask for “The Gathering at Sunnybank 2016” Block Special Rate Only $92+ Tax – Reserve Before 7/31! CALL DIRECT 1-973-696-8050 Gerrie Oliver, 60 Columbus Avenue, Closter, NJ 07624 - (201) 768-1282 - [email protected] Collie Memorial Celebration at Sunnybank Memorial Card Order Form Name for (memorial) (celebration)________________________________________________________________________________________________________ Any additional information (title, year of birth, etc.) (8-10 words only please)______________________________________________________________________ ____________________________________________________________________________________________________________________________________ Your Name:_____________________________________________________________________________ Street Address: __________________________________________________________________________ City State Zip:___________________________________________________________________________ Email: ________________________________________ Phone: _________________________________ Total number of cards ordered at $4.00 each __________ Mail To: Ms. Corinne Boerth Total amount enclosed: $ ___________ 94 Old York Road Please make your check payable to Collie Health Foundation “CHF” Chesterfield Township, NJ 08515 FMI: Corinne (609) 324-9151 or [email protected] Send by August 1, 2016 If you wish to have your card(s) mailed after the Memorial, enclose a No. 10 SASE for every 2 cards ordered, or a SAS priority mailer if you are ordering a large quantity 2-2016 15 COLLIE HEALTH FOUNDATION MEMBERSHIP REMITTANCE AND CONTRIBUTION FORM PLEASE INDICATE: new member OR Please check level of membership desired: Individual Membership Family Membership Sustaining Membership Patron Benefactor - renewal membership I’m interested in volunteering: $ 25 $ 40 $ 100 $ 500 $1,000 Promotions Auctions Sunnybank __Newsletter Other: Send your check (US funds only), payable to Collie Health Foundation or CHF to: Nancy Van Note – CHF Membership 827 Bowman Road Jackson, NJ 08527-3553 PAYPAL: [email protected] Name (as you wish to be listed): Address: City: Phone: State: Zip: Kennel Name: Email: Please check if this is a new address. I have included CHF in my will. Please send me information about including CHF in my will. Do you or your spouse work for a matching gift company? Some companies will match gifts of employees and/or retirees. Please contact your personnel office for details and a matching gift form. Company Name: Yes No Form Enclosed: ADDITIONAL CONTRIBUTION (circle one:) in Memory, Celebration, Honoring: _________________________________________________________________________________ Contributions are tax deductible in accordance with IRS regulations. 16
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