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Transcript
S C I C Newsletter: Gladesville, Newcastle, Canberra, Gosford
February 2010
Welcome to the first edition of
SCIC’s new look ‘Stay Tuned’
newsletter combining clinical and
fundraising news from the centre.
This publication brings you the latest
news about the SCIC cochlear implant
program, including important information
on clinical developments, advances in
technology and research, as well as stories
from our recipients and updates on what
is happening with fundraising for SCIC.
Matthew Taylor and his mum, Kim came into town to thank Royce Everingham for instigating Wingham’s SCIC fundraising day.
Fundraising continues to be a crucial part
of SCIC. It is only through the success of
the fundraising activities that SCIC is able
to deliver the services recipient of cochlear
implant need in order to obtain the best
outcomes from their devices.
Wingham – small town with a big heart
Happy reading!
In November 2009, the community of
Wingham teamed together and held a
fundraiser for SCIC.
NEWS FLASH:
You can see what a chewed processor looks
like later on page 3 of this newsletter!
The organisation of this event had started
a few months prior when Matthew and I
met a local Wingham business owner Royce
Everingham. Royce was quite intrigued with
my son, Matthew’s cochlear implant and the
program at SCIC. Royce became even more
so when he found out the cost of each device
at $24,070 and amazed that SCIC, as a nonprofit, charity works so hard to ensure that
recipients have all expenses fully covered.
We have been particularly grateful to SCIC as
over the course of the months since meeting
Royce as our family dog had twice gotten
hold of Matthew’s processor – the part of the
cochlear implant that sits behind the ear - and
chewed it into several different pieces.
Hearing how SCIC always responded so
quickly to repair or replace the damaged
parts so that Matthew was never without
communication, inspired Royce to start
organising a fundraiser for SCIC. His aim was
to raise money that would help with some of
the costs involved in supporting recipients and
I wanted to get involved as an opportunity
to show my appreciation for the wonderful
support SCIC has given our family.
As Royce is the owner of two businesses
in the small community of Wingham, he is
quite a familiar face, so once people knew
about how SCIC supports children like
Matthew, there was a huge response from the
community to help.
Newcastle
710 Hunter St NEWCASTLE WEST T 02 4926 8100
Canberra
10 Rudd St CANBERRA T 02 6248 6492
Central Coast
46 A Mann Street, Gosford, NSW T 0427 404 127
SCIC Comes to Darwin
The NT Minister for Health has announced
SCIC as the provider of cochlear implants
services to the Northern Territory.
The twice yearly visits by SCIC staff will
achieve a significant saving of time and money
for NT residing recipients and their families.
It will also mean that potential cochlear
implant recipients will now be able to
have the majority of their evaluation done
locally through SCIC using services at
the Royal Darwin Hospital and Australian
Hearing centre.
SCIC
PO Box 188 GLADESVILLE NSW 1675
Bldg 39 Old Gladesville Hospital via Punt Road GLADESVILLE
T 02 9844 6800 F 02 9844 6811
E [email protected]
www.scic.org.au
Continued from page 1
Three other Wingham locals: Max Hand,
Ian Murray and Trevor Tisdell, were among
those who worked hard to bring together a
most successful fundraising event. Between
them they were able to get the help of the
local radio stations and printing specialist
for advertising, music artists from as far as
Tamworth, a jumping castle and pony rides
for entertainment and items donated for
raffle and auction held on the day.
It was nice to see two other SCIC families
whose children will receive cochlear implants
in the coming month come along for the day
as well.
Royce’s initiative raised close to $4000 and
has prompted other groups to undertake
further fundraising events throughout the
year for SCIC. These community event will
contribute in a small way towards the service
and technology provided from SCIC for our
family and other recipients and I hope show
how grateful we are for giving Matthew this
special help!
A cheque will be presented to SCIC at a
function later in February.
Kim Garousse
Below:
Wingham locals, Ian Murray and Trevor Tisdell pictured
here with Matthew, used their considerable network
to ensure that the SCIC fundraising day was a huge
success.
Prof Bill Gibson called into Nat’s on Old Bar while on holidays recently and caught up with cochlear implant recipient
Nathan Quinell.
Nothing is going to stop Nathan
Nathan Quinell is now 23 years old. From
an early age Nathan, with the help of his
parents, has had to face and overcome
some major health issues.
As a 3 year old he was diagnosed with insulin
dependent diabetes. A hearing loss was
discovered when he was 8 years old and he
was fitted with hearing aids.
When he was 16 his vision also started to
deteriorate – now he can only see large
objects if they are within a couple of metres.
As a result Nathan is relying more and more
on his hearing to maintain his independence.
However, by the time he was18, his hearing
had deteriorated to the point where a
cochlear implant needed to be considered.
Nathan joined the SCIC program and
received his first implant soon after. Three
years later Prof Bill Gibson implanted his
second ear as he believed this would give
Nathan better hearing, including the ability to
localise sound.
Receiving cochlear implant services through
SCIC has given Nathan the chance to fulfil
his dream to become a chef. “None of these
hurdles have stopped Nathan” his audiologist
at SCIC Carmel Ramsay reported. “He
completed his chef’s apprenticeship and in
2005 won the Youth Achievement Award
through TAFE. Now he has opened his own
restaurant Nate’s on Old Bar near Taree”,
she added.
Although his vision is limited, Nathan is
able to work as a chef aided by some very
precise organisation of the kitchen including
everything he needs being in specific
locations and close by. Congratulations
Nathan on overcoming some difficult
hurdles and best wishes for a very successful
business venture.
SCIC Professional development for teachers 2010
Each year SCIC offers professional
development opportunities for Teachers
of the Deaf to ensure that they are able to
keep abreast of the many changes in the
cochlear implant world.
Teachers can choose from many different
options that suit the needs of their team.
Some teachers want to familiarise themselves
with new technology, while others want to
watch a mapping or habilitation session or
learn about how we determine that a child or
adolescent is a candidate.
This year, SCIC has had a huge response
with several teachers expressing thanks that
our high quality training is offered free of
charge, and that we are, in many cases, able
to provide this training locally, as we already
visit so many centres throughout NSW.
If your child’s teacher has not worked with
cochlear implants before you might like to let
them know about this service.
To find out more please contact: Andrea
Gibbons on 02 9844 6812 or email:
[email protected]
Product Information
The release of the Nucleus 5 system in
November 2009 has raised a number of
questions for existing cochlear implant
users. This may help you understand what
to expect with regard to accessing this new
product.
To assist you in navigating your way through
the Nucleus 5 technology there is an
excellent website that allows interactive
troubleshooting. PLEASE USE THIS SITE IN
THE FIRST INSTANCE to assist you if you
are experiencing difficulties.
Log onto: http://www.cochlear.com/au/
nucleus-support/troubleshooting
The virtual remote assistant is a very valuable
tool – for recipient and clinicians. A DVD will
be made available shortly.
FAQ:
What implants can the CP810 speech
processor be used with?
Currently the Freedom and the CI512 (any
implants from 2005 onwards) can use this
speech processor technology.
When will earlier implants be able to
access the new speech processor?
Cochlear Ltd is currently working on
backwards compatibility of the CI24 and the
CI22 series implants however there is no
date set for this in the near future. We will
keep you advised.
Just a couple of tips from Lyn and Sue –
SCIC’s Clinical Support Officers
CP810
Please make sure you twist the connection between the batteries and the speech
processor to disconnect. The magnet goes into the coil by screwing it downwards.
SPECTRA and ESPrit users
Please be reminded that these processors are now considered obsolete and will no longer be
repaired by Cochlear Ltd. If you have not upgraded to an ESPrit 3G or more recent model,
please phone SCIC to make an appointment to discuss upgrade with your audiologist.
If you have a problem with your processor or equipment, PLEASE try to phone the
centre early in the day, rather than later so that we have time to organise your equipment
for courier pick-up. Our courier collects parcels at 3.30.pm, so early notice will ensure
that you have next day delivery.
If I am a Freedom user, how do I upgrade
to the new technology?
As of 26 Feb 2010 the CP810 will be listed
on the Prostheses Schedule indicating that
Health Funds recognize this product. Health
fund support varies, so please contact your
fund directly.
SCIC can help you with a supporting letter to
try and assist you with the upgrade process.
For people who do not have private health
cover, children under the age of 21 may be
eligible for an upgrade through Australian
Hearing, however this is yet to be finalised.
Parents will be advised once details are
known.
I am using the CP810 and CR110 and have
difficulty getting replacement parts.
Australian Hearing is currently working
towards developing an inventory of
replacement parts. SCIC has some stock but
may not have all components at this stage.
CHEWED PROCESSORS
Over Nov/Dec 2009, Australian Hearing replaced 7 processors that were chewed by dogs.
Apparently the dogs enjoy the tasty human
scent of a processor and this occurred mainly
when a child went to a neighbour’s pool for
a swim, taking off their processor and leaving
it on a chair or table near the pool.
If your child is going swimming at home or at
a friend’s pool or ANYWHERE, PLEASE give
them some sort of robust container to put
their processor in and preferably, this should
also be placed out of reach of the dog!
Out and about fundraising for SCIC
GO TEAM FARREL!
Team Farrell
Once again, Team Farrell fundraised for
SCIC by participating in the 2009 Sun
Herald City2surf.
Team organiser, Neil Starrett from Narquay
Marine and Diving, worked hard to rally
as many people as possible, including Lane
Cove Local Member Anthony Roberts. His
encouragement to get involved and gather
sponsorship for their participation resulted in
a whopping $24,000 being raised for SCIC.
This is a fantastic result that represents the
purchase price of a cochlear implant. Thank
you to the Farrell family, Neil Starrett and
everyone who contributed to the success of
the team effort. You have given another deaf
person the chance to hear!
Above: Team Farrell, led by cochlear implant recipients
Thomas and Bradley, get ready for the start of the 2009
City2surf.
Melinda Vernon, SCIC cochlear implant recipient and winner of the 2009 City2surf - woman’s division
Want a simple, fun and easy
way to fundraise for SCIC?
Participating in an event, maybe Feb Fast,
Dry July or even contemplating the City2surf
in August? Maybe you want to hold your own
event or make donations in lieu of gifts for a
celebration like a birthday or anniversary?
Whatever the occasion, you can be a hero for
SCIC by building your own personal fundraising
page at Everyday Hero and nominating SCIC as
your preferred charity for donations.
It only takes a few minutes to build. Then
all you have to do is send an email to all of
your contacts asking them to support you in
your activity. You don’t have to worry about
keeping records or collecting money as that’s
all done for you.
Log onto Everyday Hero at
www.everydayhero.com.au and start
fundraising for SCIC now!
Belinda Di Lorenzo chose to support SCIC in Newcastle
news:
the Rebel Run4Fun held last November.
“My nephew is deaf but doesn’t require a
cochlear implant, he goes to playgroup with
many kids that do though” she commented.
“It’s really fantastic what you guys at SCIC
can achieve with them, especially for young
kids and I’m happy to try and raise as much
money for you as I can.”
Belinda took up the challenge to participate
in the Rebel Run4Fun event and used the
Everyday Hero website to create a webpage where she was able to outline to
people what her personal challenge was in
participating in the Rebel Run4Fun. She then
used her email list to contact friends and ask
them to sponsor her in the event.
Through her friendship network and even
some complete strangers who heard about
what she was doing, she was able to raise
$875. This will help some more little kids
like the ones she knows from her nephew’s
pre-school get good use out of their cochlear
implant.
Thanks for thinking of SCIC Belinda.
On Tuesday, 23
March, from 10.00am
to 2.00pm , there will
be a Technology Day
in conjunction with
Better Hearing at their
Club Room, 61 Christo Road, Waratah.
Andrew Stewart, a technical expert from
Printacall, will speak on the day about the
latest developments in his area. He will be
speaking at 11.00am and afterwards you will
have the opportunity to try out their latest
devices. Contact SCIC Newcastle
02 4926 8100 for further information.
Above: Carmel Ramsay, SCIC Newcastle audiologist,
set up for the 2009 Technology Day
SCIC – well represented at the 7TH
Asia Pacific Symposium On Cochlear
Implants And Related Sciences
SCIC clinicians were actively involved in the
2009 APSCI Conference held in Singapore
last December. Overall 9 papers and
posters reflecting the clinical and surgical
work performed at SCIC were presented.
Dr Catherine Birman presented a review of
the paediatric cochlear implant population
at SCIC. Professor Gibson discussed the
use of electrophysiology at SCIC with
special emphasis on how this related to
the management of children with auditory
neuropathy spectrum disorder. Professor
Gibson also highlighted some of the surgical
challenges when working with cochlear
implant recipients who have cochlea
abnormalities.
Leanne Skinner and Sharan Westcott
presented papers with a more clinical focus
addressing issues including outcomes of
particular groups such as pre-lingually deaf
adults, language outcomes of children with
auditory neuropathy spectrum disorder
(ANSD), school aged children who receive
a bilateral cochlear implant and recipients of
the Hybrid-L device.
Rob Harris, a surgical fellow of Professor
Gibson, presented a paper on music
perception of adult recipients with bilateral
cochlear implants.
Posters on the preservation of hearing and
on vestibular function following cochlear
implantation were also presented.
The conference was previously hosted by
SCIC in Sydney in 2007. These conferences
are a significant date in the calendar of
Cochlear Implants Clinics attracting delegates
from all around the world presenting the
latest findings in cochlear implantation.
BAHA support
at SCIC
Audiologists Mandy Hill and Paula Berkley recently conducted a first for SCIC when they
fit a patient with a BAHA (bone anchored hearing device).
This device is used by people who have
a significant conductive (middle ear)
component to their hearing loss due
to chronic ear infections, otosclerosis,
cholesteatoma and microtia or atresia.
They can also be used when people are deaf
in one ear and have normal hearing in the
other.
The surgery for the bone anchored device
requires fitting of a titanium component into the
bone which osseointegrates – that is the bone
grows around it. This component has a special
connector to the sound processor as shown
in the diagram below. SCIC audiologists with
their extensive knowledge of working with
implantable devices are well placed to support
this group of recipients as required.
NHSG fundaises for SCIC Newcastle
At their annual Christmas party in
December, the NHSG:Newcastle Support
Group For the Hearing Impaired presented
SCIC with a cheque for $5000.
NHSG undertakes fundraising for specific
items for the SCIC Newcastle centre and
has now donated more than $20,000 over
the years. We wish to thank Isabel and Max
Lindsay and all their committee members for
their hard work in raising this money.
With this latest donation, SCIC Newcastle
will be able to have some building work
done to improve storage at the centre and
to purchase a loop system and accessories
that will provide better demonstration
facilities for clients.
Luke models one of the bonnet his mum has donated
to SCIC
Luke likes
his bonnet
Luke Palmer is now 18 months old. He
received his first cochlear implant when
he was 7 months old. Like most active
toddlers, his mother Jenni had difficulty
keeping his processor in place as he started
crawling and later cruising around.
She found that using a bonnet, similar to
those worn by Surf Life Savers, was very
helpful in keeping everything in place.
Since receiving his cochlear implant, SCIC
habilitationist Sarah Wright, in partnership
with Jenni, is helping Luke make some lovely
progress with his language development.
He is now understanding lots of short
phrases and single words and has become
responsive to music, starting to dance when
he hears it.
In March, Dr Paul Walker will undertake
bilateral surgery giving Luke an even better
opportunity to develop his hearing.
Jenni has donated several of these bonnets
to SCIC. Speak to your habilitationist if you
are interested in obtaining one for your
child.
Events for 2010
The SCIC
Seminar Series
16 March:
Hearing implant options and
selection criteria
This seminar will explore the selection
criteria for various implant types including
bone conduction, middle ear implants,
electro-acoustic devices, and conventional
cochlear implant arrays.
Further the range of cochlear implant
options and the attributes of each will be
discussed
Experts in these areas will join SCIC staff in
highlighting the range of products available to
recipients and the suitability of products for
varying degrees of hearing loss.
A reminder:
Saturday 24 April
Outreach dates 2010
Coffs Harbour
26-28th October
The Libby Harricks Memorial Oration
A keynote speech of the 6th National
Deafness Sector Summit to be held at the
Grace Hotel, York St, Sydney on Friday 23
and Saturday 24 April 2010.
This year’s Orator is Professor Greg Leigh,
Chair, RIDBC Renwick College, and Chair,
Australasian Newborn Hearing Screening
Committee. Greg is well known for his
expertise in the area of newborn hearing
screening and subsequent appropriate
management, and his Oration (tentatively
titled ‘Early Identification of Hearing Loss in
Australia. Well begun is not all done’.) will
address these and related issues.
Time: 1.30-2.30 pm
Darwin
Dubbo
CICADA
The application of cortical evoked potentials in
the fitting of hearing aids and cochlear implants
will be presented. Results will demonstrate the
way cortical evoked potentials may enable the
optimisation of cochlear implant fitting and to
assist in the prediction of outcomes following
cochlear implantation.
For function details contact Judy Cassell:
[email protected] or Chris Boyce:
[email protected] F/P 9997 3979
Focus on populations with cochlear
implants: the elderly, ANSD, otoxicity and
bilaterals
This seminar will highlight the considerations
when working with various populations
considering cochlear implantation and the
ongoing management of these clients.
Clinicians and surgeons specialising in these
areas will share the latest findings from their
extensive clinical and research experience
working with these populations
7 December:
Where are they now?
Our annual review of cochlear implant
recipients sharing their experiences of the
cochlear implant process and telling us
where they are now.
10-12th May
8-10th November
Griffith
20th and 21st April
October (TBA)
Lismore
14-16th April
6-7th July
24-26th November
Nowra
11-12th August
Orange
25th-27th May 2009
15-17th November
Port Macquarie
17th – 19th February
30th June – 2nd July
Cortical evoked potentials and their
application in cochlear implants
14 September:
22-24th March
22-24th October
29 June:
The electrophysiology team of SCIC will be
joined by key researchers in this area for this
presentation .
27-29th April
On 14 Feb, CICADA held their first picnic for
the year. A large group heard presentations
given by Monica Bray, SCIC Senior Adult
Audiologist, Donna Brown, the first bilateral
HYBRID implantee and Simone Jeha Sen
Project Manager, Cochlear Ltd.
15th-17th November
Tamworth
November TBA
Taree
8- 10th March
Every 2-3 weeks
thereafter
Tweed Heads
13th April
8th July
25th November
Wagga Wagga
CICADA Picnics:
11am to 3pm.
SCIC Gladesville Courtyard
26-28th May
15-19th March
18-20th October
Wollongong
10-11th March
6-7th October
11 Apr: Presentations by Nicole Lawder
CEO and Alex Jones Chairperson of
Deafness Forum.
Dates for future picnics - details TBA:
13 Jun, 15 Aug, 4 Oct: AGM
Morning Teas:
10.30 - 12.00
The Club Room @ SCIC
4 Mar, 1 Apl 6, May 3, Jun 1, Jul 5
Aug 2, Sep 7 Oct
Committee Meetings:
69m The Club Room @ SCIC
31 Mar, 9 Jun 11, Aug 13, Oct 24 Nov
njoy reading
We hope you e
roughout the
‘Stay Tuned’ th
uld like to
year. If you wo
newsletters
receive future
ations from
and communic
l please let us
SCIC via emai
g
know by emailin
@scic.nsw.gov.au
leonarda.pemberton
AMA (NSW)
Charitable Foundation
funds new equipment
In September 2009, the AMA (NSW)
Charitable Foundation made a significant
endowment to SCIC of $120,000. As part
of their charter to fund projects where a
real and immediate difference can be made
to people in need, the Foundation agreed
that part of this donation would be used
to purchase a testing device, the Synergy
Evoked Potential System.
Sarah’s journey to hearing
Sarah came to SCIC just before she turned
13. Her hearing had been deteriorating for
some time and assessment indicated that she
would benefit from a cochlear implant.
Professor Bill Gibson fitted her with a
cochlear implant at the Mater Hospital and
since then, Sarah has been working with
SCIC audiologist Jane Brew to optimise the
benefit she receives from the implant.
Sarah has now started Year 12 and has
been elected a school prefect. She hopes to
continue her education at University next year.
I had to overcome my fear of operations
and my audiologist Jane Brew assured me
that everything would be all right. The day
came for the operation. I was so scared and
so nervous that I couldn’t stop shaking. I
woke up feeling very sick and my head felt
as if an anvil had been dropped on it. But I
was relieved, the most agonising part of my
journey was over.
I’ve been on many journeys in my life so
far, including primary school, a cultural
experience in Europe or Thailand, another
netball season or just getting through the
day. Some are much harder than others but
I’ve always taken away something good,
even if it’s just simply that I was able to
complete it.
It took a week for me to recover from the
soreness and swelling of the operation and
I wasn’t allowed to go swimming or get my
ear wet for a month. But two weeks after the
operation, I finally got switched on. At first,
there was incredible disappointment. All I could
hear was beeping and buzzing noises, not
normal sounds or voices at all. I was beginning
to wonder at this stage of the journey if it was
really worth it. Again I had to keep reminding
myself it takes practise and patience.
I’ve been lucky that I’ve led a normal life,
even though I’m deaf and different to the
average kid. Throughout primary school
I wore hearing-aids, but I was treated no
differently by the other students. My hearing
started getting worse and I realised that one
day my hearing may be completely gone.
This was the beginning of my most crucial
journey - to find my hearing again.
For the last part of my journey I had to train
my brain to hear all over again. By practising
and doing certain exercises, I had to learn
how to change the beeping sounds into
regular voices. Amazingly, at the end of 3
weeks I was already doing this. My progress
was extremely fast compared to other
recipients so by the end of 6 weeks, I was
finally finding my hearing.
I was scared so my parents and I were trying
to figure out what we could do. About six
months into Year 7 we heard about SCIC
and I thought this might be the end of my
journey. I was accepted as a candidate for a
cochlear implant, a device that would change
my life. But I soon discovered it was only the
beginning.
Two years on, I look back and see how easy
the journey might have been if I knew then
what I know now. But that’s what journey’s
are for; to discover, to learn and to push
you to the limits emotionally, mentally and
physically. If you keep pushing through
and you keep looking forward, you will be
rewarded with the Gift of Hearing.
Sarah Power
“The Synergy system is used before, during
and after implant surgery,” said SCIC’s
Founding Director, Professor Bill Gibson. “It
helps to diagnose hearing loss, and during
surgery, the electrical auditory brainstem
response (EABR) is vital in ensuring that the
device is correctly placed and is tailored to
the individual recipient’s requirements. After
surgery, the device can then be used to
diagnose faults” he went on to say.
As well as sponsoring the Synergy System, the
remainder of the AMA Foundation’s donation
will cover the cost of cochlear implant devices
for three recipients who would otherwise
be reliant on SCIC to raise the funds through
charitable contributions.
“We are delighted to provide this donation to
help SCIC with its work. The value of the gift
of hearing cannot be calculated,” Charitable
Foundation Chairman Associate Professor John
Gullotta said during the cheque presentation
at the Foundation’s Annual Dinner at NSW
Parliament House.
Below: Kate Locke, cochlear implant recipient speaks
with ABCTV Medical reporter and AMA (NSW)
Foundation member, Sophie Scott
Prof Bill Gibson accepts a cheque from Dr
John Gullotta,
Chairman of the AMA (NSW) Charitable
Foundation
Thank you
The Donald Boden
Memorial Trust – a
long time friend of
SCIC helps again
to everyone who
has contributed to
the fundraising
efforts of SCIC.
Canberra
news:
During 2009 SCIC received close to
$100,000 from The Donald Boden
Memorial Trust.
The following is just a few of the wonderful
initiatives that have been shown;
• David Crema for directing gifts to SCIC on
the occasion of his 60th birthday
• The Family of Bailey Foster for organising
a fundraising event in Melbourne for SCIC
that raised over $2,500
• Naomie Mascarenhas for fundraising for
SCIC and getting her employer AMP to
match it $ for $.
The Trust has long supported SCIC with
the specific objective of purchasing cochlear
implant devices for children who may
otherwise have not been able access this
early intervention program.
With each devise costing over $24,000, the
funds received during 2009 from the Trust
has meant that four more deaf children have
been implanted and will have the potential to
attend regular school by the time they are 5
years old.
Anne-Marie Crowe and Janet Kenyon from
SCIC Canberra accept a donation of $2,800
from Australian Ethical Investments
Ltd.
Australian Ethical donates 10% of its
profit to useful charitable, benevolent and
conservation projects.
With early intervention being one of the key
factors in the successful use of a cochlear
implant, SCIC is extremely grateful that The
Boden Trust has help by given over twenty
deaf children the opportunity to communicate
using speech, something that these children
would have been previously denied.
• The Cartwright, Simpson, Eveleigh,
Stanley and Edmonds families for
suggesting donations to SCIC in lieu of
flowers at the funerals of their beloved
family members.
Donations can be made online at www.scic.org.au
I would like to help SCIC with its mission to give deaf people the chance to hear
Please accept my donation of
$10,000
$25
I have enclosed a cheque/money order made payable to SCIC for
Or, please debit my Amex/MasterCard/Visa card for
Name on Card:
Number:
CCV No:
/
/
$50
$100
$250
$
$
$
Signature:
/
Expiry Date:
/
(last 3 digits of security number front or back of card)
Details for receipt: Mr/Mrs/Ms/Miss/Dr
Address:
Phone:
Return to:
Email:
Fundraising Manager
SCIC
P O Box 188
GLADESVILLE NSW 1675
I would prefer that my donation to SCIC remains anonymous
Please send me details on how to leave a Bequest to SCIC
Donations to SCIC will be receipted through the University of Sydney
Taxation Deductibility: All gifts over $2.00 are tax deductible under item 2.1.1 of the
Table 30-25 of the Income Assessment Act 1997.
FEB2010