Take some extremely dull content, say, for an annual report, redesign and typeset to make it appealing. Oh, and don't make it too fun because it's for CHEO. Oh, and do it twice, once for english, once UPSIDEDOWN in french.
So I decided on a half letter size, because I thought a horzantal, lanscape would be a unique approach. Since this booklet is bilingual, The second half was printed upside down, as well as suffled for the booklet format. Was presented with simple two staple binding.