Smiths Falls Community Hospital Foundation Presents

Caring Community Tree of Lights Ceremony

In Honour of the Salvation Army

For their work in the community

Join us in the atrium of the New Hospital Wing

60 Cornelia Street West, Smiths Falls

Sunday December 12, 2010 - 5:30 p.m.

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Caring Community Tree of Lights

Buy a Bulb – Support Your Community Hospital

Thank you for your support

Name__________________________________________________________________________________________________________

Address________________________________________________________________________________________________________

Postal Code___________________________________________Phone____________________________________________________

I wish to purchase ________________________________lights at $10 each________________________________________________

My donation is “IN MEMORY” or “IN HONOUR” of _________________________________________________________________

Cheque __________Visa __________MasterCard _________Card No .________________________________Exp. Date_____________

Name on Card___________________________________________________ Receipts will be issued for donations $10.00 and above

Charitable Receipt Registration No. 11915 2320 RR0001

For more information contact the Foundation office at – 613-283-9743

Thank You