Become a Puppy PowerPal

To become a volunteer collector please fill in the form below.
Or download this PDF registration form and post or fax it back to us. Thank you for volunteering your time.

Personal Details

Title (Required)

First name and Surname (Required)

Address (Required)

Street name:

Suburb:

Town/City:

Post code:

Email address (required for confirmation)

Contact Details

Mobile phone :

Work phone :

Home phone

Collection Details

Preferences for Collecting (required)

My preferred collection day(s) are

Friday

Saturday

Sunday

My preferred time of day to collect is (required for confirmation)

My preferred place to collect is (required for confirmation)

Other Helpers

I know others who may also wish to help. They may be contacted

Through me

Directly

First name and Surname (Required)

Phone (required for confirmation)

First name and Surname (Required)

Phone (required for confirmation)