Angkor Hospital for Children Dental Clinic Support angkorhospital.org Taste the World 2012 The Angkor Hospital for Children (AHC) Dental Clinic was established in 2000 by renowned Japanese photographer Kenro Izu and is currently staffed by one full-time dentist and three full-time dental assistants. Each month more than 800 Cambodian children are seen by the AHC dental team. In addition to work performed at the recently renovated clinic, outreach work is performed by the dental team who provide treatment and education to local village health centers, orphanages and schools across the province of Siem Reap. Along with the full-time Cambodian staff, the department receives volunteer dentists from around the world who donate their time to work alongside the local team. An agreement with the University of British Columbia Faculty of Dentistry supports an international rotation twice a year with General Practice Residents and DMD students as part of their student electives. This provides an incredible opportunity for teaching, patient education and developing a sense of social responsibility as oral health care professionals. The rotation is under the leadership of Dr. Christopher Zed, Associate Dean, Strategic and External Affairs. Learn more at: http://www.dentistry.ubc.ca/GPR/CommunityPrograms/ Funding Request The cost to run the AHC Dental Clinic is approximately $60,000 per year. On opening night of Taste the World 2012 $10,000 was raised—help us raise the balance. We ask that you and your office please consider a tax deductible donation of $50, $500, $5,000 or any amount of your choice to help continue to provide free vital dental services to thousands of Cambodian children. Donor Acknowledgement Generosity of this donation will be acknowledged as follows: ● An official tax receipt from the University of British Columbia (charitable business #10816 1779 RR0001 ● Acknowledgement on the AHC organizations website ● Acknowledgement on AHC’s Facebook page (2000+ like AHC facebook/angkorhospital.com ) ● An article in the e -newsletter (to all international donors & volunteers) ● Special mention in the annual Canada Day newsletter sent out to our Canadian supporters (140 Canadian supporters and vo lunteers) ● A donor plaque prominently posted outside the Dental Clinic for the hundreds of visitors and staff to view (13,000 visitors since November 2009 and 6500 in 2010, and 30 medical/dental residents attend AHC in 2010) ● Recognition in the annual U BC Dentistry donor honour roll published in Impressions magazine - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Yes! I would like to support the Angkor Hospital for Children Dental Clinic THANK YOU FOR YOUR SUPPORT Name: Address: I would like to make a tax-deductable donation of $ ____________ City: Province: I am enclosing a cheque/money order to the Faculty of Dentistry. Country: Postal Code: Please charge my: VISA MasterCard Phone: Fax: Credit card number:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ CCV:_ _ _ Expiry date (M/Y)_______ E-mail: Cardholder name: I would like my gift to remain anonymous. Cardholder signature: Please send your gift along with this form to the address below and we will send you a tax receipt. UBC Dentistry Development Office 204 – 2199 Wesbrook Mall Vancouver, BC Canada V6T 1Z3 T 604 822 5886 F 604 827 5181 E dentistry.development@ubc.ca dentistry.ubc.ca Thank you for supporting UBC Dentistry and the Angkor Hospital for Children Dental Clinic