Taste the World 2012 Angkor Hospital for Children Dental Clinic

advertisement
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
Download