CustomVows  Officiant
Perfection is our Goal. We tolerate excellence.

Brian Napier P. Eng., has over 35 years’ international professional speaking experience, and nearly 15 years’ experience as an appointed and licensed Marriage Commissioner within the Province of Alberta, Canada, officiating at well over 1400 weddings as of December 2015.  He is a Commissioner for Oaths within the Province of Alberta, Canada, enabling him to administer oaths and Affidavits.


In addition to Officiating Weddings, Brian presides over many other ceremonies including Funerals, Memorials, Vow Renewals, Baby Namings, Retirements and many other general events requiring a skilled Master of Ceremonies.  He continues to be called upon for various other Speaking engagements. 

         Memorials           Weddings        Oaths/Affidavits        Special Events
Your special life event must reflect the traits and beliefs that you hold true.  Including these in your custom service helps ensure it is truly custom and memorable.  This is the crux of the unique CustomVows process.  Clinical trials in this particular setting, treatment planning has to rely on data from sarcomas at other locations, case reports, and personal experience [11]. viagra for sale We report the experience on 14 patients suffering from sarcomas of the heart and great vessels who were treated at the interdisciplinary sarcoma center of the eberhard-karls-university at tuebingen. viagra 5 mg or 20mg Despite the limited number of patients, it is one of the largest series of malignant tumors in these special locations to be reported. viagra samples Previous section next section patients and methods between january 1993 and september 2006 the interdisciplinary sarcoma center of tuebingen university registered a total of 1,429 first contacts with patients suffering from sarcoma. Fourteen patients (1. order viagra online 0%) with a primary sarcoma of the heart or the great vessels were identified (fig. 1). viagra 5 mg or 20mg The medical records of these patients were reviewed. Detailed information on patient characteristics, such as location and histology of the primary sarcoma, extent of disease, diagnostic methods, treatment, response to treatment, and follow-up period, were acquired. Durations of follow-up and survival in this analysis were calculated based on the date of the first day of treatment until the date of last contact, if the patient was still alive, or the date of death. For all living patients the status as of january 2007 was verified. viagra no prescription Tumor response was classified according to response evaluation criteria in solid tumors [12]. viagra pills The overall survival calculation used death for any reason as the endpoint. A descriptive retrospective analysis of the patient characteristics, their treatment sequences, and outcome and survival was performed. buy generic viagra online View larger version: in this window in a new window download as powerpoint slide figure 1. Overview of clinical course of the patients. Abbreviations: awd, alive with disease; cr, complete remission; dod, dead of disease; na, not available; nc, no change; ned, no evidence of disease; pr, partial remission. Previous section next section results patient characteristics the median age of these patients at the time of primary diagnosis was 42 years (range, 20–61 years). Eight patients (57%) were women. Only four patients were referred to the sarcoma center immediately for primary diagnostic workup and initial therapy. viagra 5 mg or 20mg In the remaining 10 cases (71%), treatment had been initiated at outside hospitals. The tumors originated from all parts of the heart and large vessels. viagra prescription drug canada The most frequent sarcoma subtypes found were angiosarcoma and leiomyosarcoma. Details on th. viagra samples free by mail buy viagra no prescription online With proper planning, preparation and perhaps even a little perspiration, we will ensure your life event is truly memorable and unique.