The Brendan Midgley and Joseph Stryjak Celebration of Life Bursary Fund The Brendan Midgley and Joseph Stryjak Celebration of Life Bursary Fund was established at Simon Fraser University in 2006 by the Midgley and Stryjak families and their friends. Brendan Midgley and Joseph Stryjak, who passed away tragically on January 13, 2006, were both students at Simon Fraser University. Brendan was studying French and Joseph was in the Criminology Program. The Brendan Midgley and Joseph Stryjak Celebration of Life Bursary Fund will support bursaries for students at Simon Fraser University in any Faculty. Thank you for joining us in celebrating the life and legacy of Brendan Midgley and of Joseph Stryjak. ______________________________________________________________________________ I would like to make a tax-receiptable charitable gift in the amount of: $25 $50 $100 Other: $_________ NAME ADDRESS CITY PROVINCE TELEPHONE (HOME) POSTAL CODE TELEPHONE (WORK) E-MAIL ADDRESS Although contribution details remain absolutely confidential, we would like to share with the families that you have made this special gift in memory of Brendan Midgley and Joseph Stryjak, unless you would prefer to remain anonymous. I would like this donation to remain anonymous. Payment will be made by: Enclosed cheque payable to Simon Fraser University VISA MasterCard CARD NUMBER EXPIRY DATE CARDHOLDER’S SIGNATURE Return this donation form by mail: Preet Virk Manager, Awards Fundraising UNIVERSITY ADVANCEMENT Simon Fraser University 8888 University Drive Burnaby, BC V5A 1S6 Fax 604.291.4958 Telephone 604.291.5310