 Knights Templar Eye Foundation, Inc. 1000 East State Parkway, Suite I Schaumburg, IL 60173-2460 Phone: (847) 490-3838 Fax: (847) 490-3777 www.knightstemplar.org/ktef  A Message from Sir Knight T. Jeffery Conquest, KCT General Chairman of the 40th Annual Campaign for the KTEF, Trustee of the Board of the KTEF, and P.G.C. of Indiana
At a couple of Department Conferences, it was brought to my attention that many Sir Knights are unaware of how to sponsor patients for eye care. In response to several requests, I began in December this article, "How to Sponsor a Case Through Your Foundation." The article in its entirety can be obtained from the office of the KTEF. I want to thank all those who have supported the Voluntary Campaign with their generous contributions and passion for curing eye disease. Please continue to support your Eye Foundation. Procedure for Authorization The following forms are provided to Sir Knights for the submitting of information which is necessary for us to authorize a case: Form 1-2, Instruction Sheet: This sheet contains all necessary information to complete the application. It is important for the sponsoring Knight Templar to read this information carefully and to follow the instructions closely. Form 3, Application for Surgery and Hospitalization: This .form is to be completed by the sponsoring Knight Templar at his interview with the applicant!. It should be noted that all forms are to be legibly completed and that all information required is given. After supplying this information, the sponsoring Knight Templar certifies the information as being correct to the best of his knowledge by supplying his name, address, and Commandery name and Number and signing the form. Form 4, Certificate of Surgical Providers: This form is to be completed by those who will be providing services during the applicant's eye surgery. Again, all information required should be supplied and the form signed by the attending ophthalmologist, a person of authority at the facility where surgery will be performed, and the anesthetist. Fees stated on this form should be in accordance with our fee schedule which is printed on the back of this form. This is our assurance that all providing service during the applicant's surgery are willing to cooperate with our effort to assist those less fortunate. (Information on Procedure continues in the February 2008 issue) T. Jeffery Conquest, P.G.C. General Chairman of the Campaign Trustee of the Board of KTEF Sir Knight Conquest resides at 1903 Somersworth Drive, San Jose, CA 95124.
No.5,150-Bryan L. Berry (PA) No.5,151-Bryan L. Berry (PA) No.5, 152-Gene A. Scrogham (IN) No.5,153-Paul E. McElwain (CA) No.5,154-David L. Kempfer, Sr. (PA) No.5, 155-Robert J. Fischer (WI) No.5, 156-Walter A. Lohman (WI) No.5,157-Marian Montgomery (WI) No.5,158-Charles R. Shaw (CA) No.5, 159-Christopher W. Jones (TX) No.5, 160-Richard J. Hartung (VA) No. 5,161-Garland R. Harman (SC) No.5,162-John R. Marcucci (SC) No.5,163-Robert E. Eberly, Jr. (SC) No.5, 164-Dove of Georgia Shooters (GA) in honor of John S. Stephens Grand Commander's Club
NO.1 02,652- Thomas L. Becker (PA) No. 102,653-Joan M. McElwain (CA) NO.1 02,654-David A. Duskey (PA) No.102,655-David George (OH) No.102,656-Charles R. Shaw (CA) No. 102,657:-James Emert Hawn (MI) No. 102,658-Harry J. Smith (PA) No: 102,659-Aubert W. Kleasen(OH) No.l02,660-Bernard W. Frost (MA/RI)
James Dimitri, 33° (IN) George F. Baxter, 33° (PA) Paul L. Handley, 33° (SC) in honor of Ronald G. Jacoby, 33I Paul L. Handley, 33° (SC) in honor of Charles D. Snyder, 33° Paul L. Handley, 33° (SC) In honor of Laurence E. Laughlin, 33° Donald R. Harner, 3;3° (PA) Sumner & Jackie Brashears (AR) . in honor of Michael R. St Pierre, 33° Contributor to the OPC Club - DONATION FORM 40th Annual Voluntary Campaign Campaign report by Grand Commanderies for KTEF Officers and Trustees for the week ending December 7, 2007. The total amount contributed to date is $182,297.75.
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