NewsletteR - Lions Foundation of Canada Dog Guides
Transcription
NewsletteR - Lions Foundation of Canada Dog Guides
LIONS FOUNDATION OF CANADA NewsletteR 1 February | 2013 THE TEXAS EFFECT Since graduating, Texas has already made an enormous difference in Ethan’s life; he relieves his stress about being alone at night and as a result Ethan now has fewer seizures. He also fits perfectly into Ethan’s busy lifestyle. “Texas is the perfect dog for me because he loves to travel. Our family is busy and we go to lots of different places for sports and stuff,” explains Ethan. Ethan and his Dog Guide Texas have fun posing with Ethan’s hockey team. Imagine being 12 years old again— you are surrounded by your friends at school and your family at home. You are still discovering your interests; maybe you have a passion for sports, perhaps you love music and you’re creative. High school is not far off and you’re beginning to find your voice in the world. Now imagine adding the stress and challenges of epilepsy. Ethan is an active 12 year old boy living in Caronport, Saskatchewan playing football, track and field, basketball and hockey. He also has epilepsy. With his busy, but structured schedule, Ethan’s family was concerned that he wasn’t getting the sleep he needed because his seizures happened at night. That all changed once Ethan travelled to Oakville to receive Texas, a Seizure Response Dog Guide that was trained to meet his specific needs. “Seizures are scary and I thought it would be fun to have a dog that could help me,” Ethan said about applying for a Dog Guide. In addition to providing greater security for Ethan at night, Texas is trained to react to the onset of a seizure at any time of the day. His presence means that Ethan will never be alone and will get immediate help when he needs it most. 6 STAY TUNED! Lions Foundation of Canada is expanding its facilities and adding a 6th Dog Guide program! Information about the new expansion campaign will be announced shortly. NewsletteR 2013 Purina® Walk for Dog Guides Growing Support Dog Guides Out & About What Grads Have to Say Wish List Congrats Grads Upcoming Events Lions Awards Program Gift Shop 2 Message from the Executive Director Message from the Chairperson Our school has really progressed in the last decade with an increasing number of people from all over the country receiving Dog Guides. What was once a lengthy wait for a Special Skills, Hearing Ear, Seizure Response, Autism Assistance or Canine Vision Dog Guide is sometimes very quick. We are continually looking at how Executive Director, Sandy Turney we can serve more people while maintaining reasonable wait times for those applying for Dog Guides. To ensure this happens, we have begun planning for our next expansion – more Dog Guides helping more Canadians with disabilities. Further details will be announced in February. We’ll keep you up to date every step of the way! The confidence in long term planning results from the great financial support we receive from Lions and Lioness Clubs, as well as a growing number of bequests, corporate and individual donations. We thank everyone for their generous support that has helped us grow throughout the years. I want to thank my fellow Directors for supporting me in this position to serve this Foundation and I would like to welcome our new board members who are starting their three year terms – Lion Ralph Krueger (Ontario), PDG Jan Phillips (New Brunswick), and Lion Doug Cook (Prince Edward Island). This Foundation is well represented Chairperson, Bev Semple by Lions from coast to coast and everyone shares its mission to “to assist Canadians with a medical or physical disability by providing them Dog Guides at no cost.” The staff members and many volunteers work tirelessly which plays a vital role in the success and growth of the Foundation. I thank them for their support. Last year we had 153 graduates. I thank all of the donors, individual and corporate, Lions and Lioness who generously give. These donations make it possible for the Lions Foundation to continue to provide the best possible training and breeding. We need this continued support as our list of clients continues to grow. I am excited about the progress of the Purina® Walk for Dog Guides and look forward to the 2013 season. Last year the Walk hit the million dollar mark. This year we are striving to surpass that and are aiming to raise 1.2 million! We need more support in terms of Walk locations, both new and established. The challenge is on, Lions! For more information about the Walk, visit purinawalkfordogguides.com Let’s continue to make a difference together. Sandy Turney, Executive Director Toronto Weekend Getaway Winners Thank you everyone who participated in the 2012 Ontario & Alberta Toronto Weekend Getaway Raffles Bev Semple, Chairperson Congratulations to the following grand prize winners: Ontario Mr. Bill Rowden of Port Hope, ON Alberta Taber Lions Club of Taber, AB New Postal Code Please note that Lions Foundation of Canada’s postal code has changed. We have not moved. The address is as follows: 152 Wilson Street Oakville, Ontario L6K 0G6 NewsletteR 2013 Purina® Walk for Dog Guides Growing Support Dog Guides Out & About What Grads Have to Say Wish List Congrats Grads Upcoming Events Lions Awards Program Gift Shop 3 Purina Walk for Dog Guides ® Be a proud Lion – Support Project Pride! NewsletteR 2013 Purina® Walk for Dog Guides Growing Support Dog Guides Out & About What Grads Have to Say Wish List Walk Success The first Purina® Walk for Dog Guides held in the Yukon took place in 2012 under the leadership of Autism Assistance Dog Guide graduate parent, Chris Nash. Chris attended class in Oakville in June of 2011 to train with his son’s new Autism Assistance Dog Guide, Roscoe. Since returning home, Roscoe has had such a positive influence in his son Brendan’s life that the family was inspired to give back to the Foundation. After learning that there was not a Purina® Walk for Dog Guides in the Yukon, Chris decided this would be the best way to fundraise for the Lions Foundation. With a small committee, the Walk was hosted in Whitehorse and was a huge success! More than 75 participants came out to show their support and collectively raised $8,332. This is a great example of how a Walk can be organized and the huge impact it has for the Lions Foundation. With the success of the 2012 Walk and new locations like Whitehorse, the challenge is on to build upon its success in 2013. To do this, new locations are needed. With your help, we can continue to grow and provide more Canadians with disabilities Dog Guides at no cost. If you or your club is interested in hosting a Walk, please contact the Foundation or call 1 (800) 768-3030. Over the last decade thousands of children have learned more about their country and why it is such an incredible place to live thanks to the dedication of Lions across Canada. Project Pride is an outreach program designed to help Lions and Lioness educate children in their community. It’s a fun and easy way to make a big impact on growing minds. To learn more about Project Pride, or to get involved: Veiw the Brochure Email PID Bill Webber. Congrats Grads Upcoming Events Lions Awards Program Gift Shop 4 New Age Requirements at Dog Guides The Hearing Ear Dog Guide program has lowered the minimum age requirement and children as young as ten years old are now able to apply. Each applicant will still be assessed for their ability to work with and care for a Dog Guide. For information on the Hearing Ear Dog Guide program and how to apply, please click here. The other Dog Guide programs have the following age requirements: Autism Assistance Dog Guides – 3-18 years old Canine Vision Dog Guides – 12 years old and up Special Skills Dog Guides – 10 years old and up Seizure Response Dog Guides – 6 years old and up Lions Foundation continues to help more people Applications for Dog Guides come from many sources, with word of mouth being one of the most frequent ways that applicants find out about our school. Due to our growing number of classes, the waiting lists for Seizure Response Dog Guides and Hearing Ear Dog Guides are shorter than is typical, which means wait times for a Dog Guide are less than usual. Below is a brief summary of the steps that all Dog Guide applicants go through in order to apply for and receive a Dog Guide: • Complete and submit an application along with other supporting medical documentation. Applications for each program are available on our website, by e-mail, or by mail. • Reference requests are sent out to three individuals, including a veterinarian where possible. • A trainer will conduct an in-home visit. This is an opportunity to determine an applicant’s needs and answer questions. NewsletteR 2013 Purina® Walk for Dog Guides Growing Support Dog Guides Out & About What Grads Have to Say Wish List Congrats Grads Upcoming Events Lions Awards Program • Our Acceptance Committee meets to discuss all of the information present from the file and in-home visit. • If accepted, future clients are placed on our waiting list until we have a Dog Guide that matches their needs. If you know someone that is interested or would benefit from a Dog Guide, please have them contact Alex Ivic or call him at (800) 768-3030 ext. 222 for more information. Let’s spread the word and help more Canadians with disabilities! • Applicants are then invited, ideally 1-2 months before class is scheduled, to attend class to train with their Dog Guide. • Applicants reside at our training centre in Oakville, Ontario for between 10-26 days depending on type of Dog Guide they are training with. Gift Shop 5 Growing Support Dog Guides Out and About The Lions Foundation has been very fortunate to receive several grants and significant donations over the last few months, most of which are assisting with class expenses. A very special thank you to the following for their generosity and support of Dog Guides: •The Caroline Cunningham Foundation for Epilepsy •The Fenella Foundation •Fido •Geoffrey Wood Foundation •Greey-Lennox Foundation •The Gooder Foundation •The Green Shield Foundation •Leonard and Gabryela Osin Foundation •Passport to Freedom •Ontario Refrigeration and Air Conditioning Contractors Association •Unitron Canada When recognizing anyone for their support, thanks and appreciation always goes to Nestlé Purina PetCare for their long-term commitment, generosity and support of the Lions Foundation and its Dog Guide programs. Since day one, almost 30 years ago, Purina has been providing dog food and treats for all of the foster puppies and dogs in training. As the Dog Guide program continues to grow, Purina has kept up its support every step of the way and even grown to become the title sponsor of the Purina® Walk for Dog Guides. We are incredibly thankful for their unwavering support and look forward to working with them for years to come. District A2 member, PDG Bob Davis was undoubtedly a ‘dog person.’ PDG Bob was an active member of the Tillsonburg Lions Club since 1989 and for several years he collected pennies with the goal of sponsoring Dog Guide teams. Through PDG Bob’s “Pennies for Puppies” fundraising, the Tillsonburg Lions Club has been able to sponsor four Dog Guide teams. Shortly before PDG Bob’s death he spent some time with a future Dog Guide puppy. This visit was a small thank you for the dedication PDG Bob has had to the Dog Guide programs. Staff at Centennial Animal Hospital in Winnipeg presenting PDG Norm Johnson and Past Chairperson, PDG Bob Robinson with a cheque for $6,300 for a Canine Vision sponsorship. The funds were raised through their annual Pet Pics with Santa, silent auction and donations. Congratulations for their terrific fundraising efforts! More than 220 guests enjoyed Winmar’s annual cruise last August in Toronto. Winmar is a property restoration specialist and held this fundraiser which raised $5,000 for the Dog Guide programs. Dog Guides from multiple programs and stages in training met up for some tail-wagging fun over the holidays. From the front: Tess (SSD), Dudley (CVC), Georgia (TBD), Effie (upcoming SSD) and Wiki (Breeding). NewsletteR 2013 Purina® Walk for Dog Guides Growing Support Dog Guides Out & About What Grads Have to Say Wish List Congrats Grads Upcoming Events Lions Awards Program Gift Shop 6 What our graduates have to say... "Every time I am paired up with a new Dog Guide it always surprises me how different my life becomes, each one teaches me something new and I will never be able to give them enough credit." "When I brought Reid home it was love at first sight for both her and my daughter Sasha. Thank you so much for what you have given us!" – Colleen, mother of Sasha and Reid, Autism Assistance Graduate – Paula, three time Canine Vision Graduate "My daughter Kayla graduated in October and we heard of the Lions Foundation through her doctors in Vancouver. They told her to try applying for a Seizure Response Dog Guide. That was the best decision we ever made. Thank you for making her life better with Shadow." – Sheila, mother of Kayla, Seizure Response Graduate "Brava comes to work every day and loves every minute of it! No one can believe how well behaved she is!" – Angela, Special Skills Graduate "This is an amazing place with amazing people all working towards a common goal; to change the lives of people with disabilities through Dog Guides." – Jennifer, Hearing Ear Graduate Dog Guide Wish List The Wish List is a unique way to make a contribution to the Dog Guide program. If you wish to contribute an item or make a donation towards the purchase of an item, please contact (905) 842-2891 or 1 (800) 768-3030. Please call if there is something specific that you can provide that may not be on this wish list. • Phone system (replace outdated system) $5,000 • Mattresses for 8 client rooms (replacements) $4,000 • Televisions for client rooms $3,000 • Harnesses for Special Skills program $1,000 • Heavy duty sewing machine for Breslau • Microwave (industrial for kitchen) $ 300 • Grooming table $ 200 • Bedding for client rooms (new sheets, duvets and towels) • Paper supplies (copy paper, paper towels, paper napkins) • Dog toys (Kongs and Nylabones) • Gift cards to grocery stores for food for clients • Gift cards to gas stations and office supply stores • Canadian Tire money Thank you to: • An anonymous donor for a donation to purchase computer monitors for client rooms • Crossfield Lions Club for funding to replace lighting in client rooms to energy efficient lighting and for the purchase of paper supplies • Nylabone for donating Nylabones NewsletteR 2013 Purina® Walk for Dog Guides Growing Support Dog Guides Out & About What Grads Have to Say Wish List Congrats Grads Upcoming Events Lions Awards Program Gift Shop 7 Western Canada Matching Program Thanks to the terrific support of many clubs in the western provinces, the matching program was a great success! We are delighted that clubs were able to reach the $70,000 goal towards the sponsorship program. An anonymous donor matched these donations to sponsor Dog Guide teams for clients in the western provinces. We have had several clients from the west graduate with more still to receive a Dog Guide in the next few months. Although the matching program has ended, the Lions Foundation is still in need of sponsors for all five programs as well as smaller donations to help cover the cost of each graduating team. Congratulations Graduates AAD Graduates Location Sponsor Akito & Ikon Julian & Jenko Carson & J.P. Sasha & Reid Thomas & Thistle Braydon & Keats Adam & Totem Ulysses & Arnold Oakville, ON Richmond Hill, ON Guelph, ON Burlington, ON Black Diamond, AB Winnipeg, MB Innisfil, ON Tweed, ON Agincourt Lions Club, ON PDG Barry Tate Project, ON District A15, ON Truro Lions Club, NS Shell Lake Lions Club, SK Beausejoir Lions Club, MB; Tyndall Eagles, MB; Burlington Aldershot Lions Club, ON Bert Spencer Memorial Golf Tournament, ON Susan and John McCracken, NB SRD Graduates Location Sponsor Kieran & Hunter Yaël & Poppy Cory & Jagger Brockville, ON Lévis, PQ St. Catharines, ON Care-Alive Foundation, ON Pat Jaskula, ON Care-Alive Foundation, ON SSD Graduates Location Sponsor Stefphany & Roxy Samantha & Jazzy Diane & Halo Julie & Juliet Kelly & Reba Gloria & Gladys Kimberly & Arthur Winnipeg, MB Leduc Lions Club, AB Belleville, ON Penticton, BC Calgary Properties Lions Club, AB Timmins, ON Coquitlam, BC Western Match Ottawa, ON Thunder Bay, ON HED Graduates Location Sponsor Wayne & Gem Paul & Ola Flora-Marie & Davis Jennifer & Penny Orillia, ON Halifax, NS Newmarket, ON Toronto, ON Pet Country Estate, ON Rob Parker Memorial Fundraiser, ON; New Germany and Area Lions Club, NS Pet Country Estate, ON Unitron, ON CVC Graduates Location Sponsor Al & Henry Wanda & Jaela Kelly & Yale Amanda & Allie Gerald & Holmes Elizabeth & Mac Brantford, ON Winnipeg, MB Hamilton, ON Hamilton, ON Westville, NS Belleville, ON Hospitality Dynamics, ON; Estate of Mary Anne Kennedy, ON Tom Moreau and Diane Brockman, ON; Russell Lions Club, MB Fisherville Lions Club, ON; Fenwick Lions Club, ON; Yvionen Petitt, ON Dereham Lions Club, ON; Hamilton Central Lions Club, ON St. Margarets Bay Lions Club, NS; Lake Echo Lions Club, NS Susan and Frank Saraka, ON; Dunnville Lions Club, ON NewsletteR 2013 Purina® Walk for Dog Guides Growing Support Dog Guides Out & About What Grads Have to Say Wish List Congrats Grads Upcoming Events Lions Awards Program Gift Shop 8 Upcoming Events NewsletteR Reward for your Time Many companies will award the Lions Foundation with a grant for employees who volunteer or donate to Lions Foundation. This includes activities such as organizing a Walk, fostering a puppy or coordinating a fundraising event. Recent donations have been received from Suncor, Labatt, SunLife, TD, RBC, Enbridge and Investors Group to name a few. Please be sure to check if your (or your spouse’s) company has this program, either for volunteering or matching your donation. 2013 Purina® Walk for Dog Guides Growing Support Dog Guides Out & About What Grads Have to Say Wish List Spring Open House On Saturday, April 20th from 10 a.m. to 2 p.m., Lions Foundation of Canada Dog Guides is hosting its Open House in Oakville (152 Wilson St.). It will feature demonstrations from all five Dog Guide programs, information about volunteer opportunities and the Purina® Walk for Dog Guides, the chance to cuddle future Dog Guide puppies and a silent auction. Items are needed for the silent auction. If you know someone who would be happy to donate, we would love to have their support. It could be a gift card to a store or a service such as a haircut! Every item makes a difference and helps raise more funds. If you would like more information on how to donate, please contact Merilyn at (905) 842-2891 Ext. 231 Congrats Grads Upcoming Events Lions Awards Program An Evening for Dog Guides Lions Foundation of Canada Dog Guides will be hosting its annual Evening for Dog Guides anEvening for auction on Thursday, April 25 in Oakville (152 Wilson St). This exciting evening will feature th a live auction with all proceeds supporting the Dog Guide programs. Items are needed for this important fundraiser, if you would like more information on how to donate, please contact Merilyn at (905) 842-2891 ext. 231. Items can include: gift certificates, vacation packages, culinary experiences, sporting tickets, entertainment outings, golf getaways, technology gadgets and more! Gift Shop 9 Lions Awards Program Collect points when you shop? Looking for a way to acknowledge the hard work of a fellow Lion? Consider purchasing an award or fellowship! The Lions Awards and Fellowship programs provide clubs and members an excellent way to honour the work and dedication of other Lions. Many stores provide a great opportunity for you to support Dog Guides through their rewards programs. By donating some or all of your points to Lions Foundation of Canada, you enable the Foundation to use the points towards purchasing supplies and products that are needed for the clients or for ongoing fundraising activities. Many thanks to the supporters of these programs. Life Membership - $100 (add $50 for wood mount) To order, please complete the Life Membership application form. Progressive Life Membership - $100 (add $50 for wood mount) To order, please complete the Progressive Life Membership application form. Fellowship - $250 To order, please complete the Lions Foundation of Canada Fellowship application form. Judge Brian Stevenson Fellowship – $500 Please note, this is only available through purchase by a club, district, multiple district or a person who wishes to honour a deserving individual. To order, please complete the Judge Brian Stevenson Fellowship application form. Progressive Judge Brian Stevenson Fellowship - $500 Please note, this is available for purchase only by a club, district, multiple district, or an individual who wishes to honour someone. Personal purchases are not permitted. To order, please complete the Progressive Judge Brian Stevenson Fellowship Award application form. 100% Club Awards Clubs who have 100% of their members as Life, Fellowship or Judge Brian Stevenson Fellows will receive a banner patch recognizing this wonderful support. To order, please complete the 100% Club Awards application form. Please note, if you need to find out who has been recognized by your club, contact us. Shoppers Optimum Points To donate your Shoppers points, please go online to www.shoppersdrugmart.ca/donate where you can click on “donate your points” and simply select Lions Foundation of Canada as the recipient. HBC Rewards When you shop at the Bay, Home Outfitters and DealsOutlet.ca, you can collect points on the Lions Foundation’s Rewards program. To enroll, go to www.hbcrewards.com/community and register as a member using Public ID# 1724181. Air Miles If you have existing Air Miles, Dog Guides can always use them towards a gift certificate or item for a fundraising event, such as one of the auctions, or they can be redeemed towards flights for clients traveling to the Oakville training school. Canadian Tire Canadian Tire money is popular because there are hundreds of items that can be purchased and used for vehicle and ground maintenance and housekeeping supplies. Money can be sent directly to the Lions Foundation. NewsletteR 2013 Purina® Walk for Dog Guides Growing Support Dog Guides Out & About What Grads Have to Say Wish List Congrats Grads Upcoming Events Lions Awards Program Gift Shop 10 NewsletteR 2013 Purina® Walk for Dog Guides Gift Shop Original vintage LFC pin NOT Growing Support ORANGE MUG Dog Guides Out & About AVAILABLE ONLINE What Grads Have to Say Wish List $ 10ea Stainless steel travel mug $ Congrats Grads 9 ea Navy Blue Hoodie Upcoming Events Lions Awards Program M-XXL $ 10ea $ 34ea Gift Shop LIONS FOUNDATION OF CANADA PO Box 907 Oakville, Ontario L6J 5E8 (905) 842-2891 / 1-800-768-3030 TTY (905) 842-1585 Fax (905) 842-3373 GIFT SHOP ORDER FORM Charitable Tax #: 13024 5129 RROO1 ITEM NUMBER 10041 1017 1019 1021 2037 2038 2040 2041 2045 2047 3004H 3004N 3040 4001 5006 6003 6010 6012 6014 6015 6019 6025 6032 6035 6040 6045 6050 7004 7007 8004 8010 8012 8015 8019 8052 8053 8070 8072 8074 ITEM DESCRIPTION PRICE INCL. APPL. TAX Kids Royal Blue T-shirt with logo Youth Sizes XS,S,M,L Red t-shirt Sizes S,L,XL,2XL, Royal Blue Tshirt Sizes S,M,L,XL,2XL NEW! Purple T-shirt Sizes S only Purple Golf Shirt Sizes XL,2XL,3XL only White Golf Shirt Sizes S,M,L only Beige/Grey Ministripe Golf Shirt Sizes S,M,L,XL,2XL Ladies Pistachio Golf Shirt Sizes S,M,XL only Red Golf Shirt Sizes S,M,L,XL,2XL,3XL NEW! Ladies Lake Blue Golf Shirt Sizes: S,M,L,XL,2XL NEW! Dark Heather (Grey) Hoodie Sizes S,M,L,XL,2XL Navy Hoodie Sizes M,L,XL,2XL Blue with Grey ½ zip Fleece Sizes L,XL,2XL SALE! Blue Denim Shirt Sizes S, M, L, XL, 2XL, 3XL Red Dog Guide Bandana 11oz Orange ceramic mug with white logo NEW! Dog Guide Holiday Cards (package of 10) Grey & Blue Fanny Pack new colour Peace on Earth Holiday Cards (package of10) Blank All Occasion Cards (package of 10) Stainless Steel Coffee Mug new style Dog Guide Luggage Tag (purple) Silver Pocket Whistle Keylight Purple Coolie Red Cooler Bay (6 can size) (Walk Logo) Black Tote Bag (Walk Logo) Purple Stretch Lanyard Grey Spring Jacket Sizes S,M,L,XL,2XL,3XL NEW! Ladies Vibrant Sky Blue Spring Jacket Sizes XS,S,M,L,XL,2XL NEW! White with Red Trim Baseball Cap NEW! Black Baseball Cap, Red Rimmed Bill (LFC Logo) Red Baseball Cap Red Lightweight Nylon Vest (Walk Logo) Sizes M, L only Navy Nylon Vest Sizes S,M,L,XL,2XL,3XL Navy/Red spring jacket Sizes XL,2XL only Navy/Titanium spring jacket Sizes S, M only CVC Pin HED Pin SSD Pin $13.00 $13.00 $14.00 $13.00 $22.00 $22.00 $22.00 $22.00 $30.00 $22.00 $34.00 $34.00 $42.00 $36.00 $10.00 $9.00 $10.00 $16.00 $4.00 $6.00 $10.00 $2.00 $2.00 $3.00 $5.00 $5.00 $4.00 $35.00 $35.00 QTY SIZE TOTAL $10.00 $10.00 $10.00 $25.00 $43.00 $35.00 $35.00 $4.50 $4.50 $4.50 Updated Jan 21, 2013 9011 9013 9015 9016 9017 25th Anniversary Pin AAD Pin SRD Pin Set of 5 pins (any combination) “Ash & Mrs. Hemingway” Children’s Book “Roscoe’s Journey” Children Book Platinum Sparkling Ornament - Wreath Platinum Sparkling Ornament - Snowflake Platinum Sparkling Ornament – Tree ------- 2013 Oakville Firefighter Calendar $4.50 $4.50 $4.50 $20.00 $16.00 $19.00 $8.00 each of CHOICE OF ANY 3 FOR $20.00 $10.00 Shipping – Purchase total between $0 - $30 = $7.50 Shipping – Purchase total between $30 - $50 = $10.00 Shipping – Purchase total between $50 + = $15.00 SUB TOTAL SHIPPING SHIPPING SHIPPING 8076 8078 8079 NEW! NEW! NEW! NEW! Please ensure your total includes shipping charges ADD ADD ADD $7.50 $10.00 $15.00 TOTAL Please make cheques payable to: Lions Foundation of Canada Please Print: Name:____________________________________________________________________ Address:__________________________________________________________________ City________________ Province_________________________ Postal Code___________ Telephone Number___________________________ Email _________________________ Please Indicate Method of Payment: π Cheque – make cheques payable to “Lions Foundation of Canada” π Cash (do not send cash in mail) π Visa π Master Card Card Number_______________________________________ Expiry Date ______/______ Signature________________________________________________________________ Updated Jan 21, 2013