RSPCA Victoria: Bushfires/Assistance offer

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Helping the RSPCA's emergency relief

For more information please contact the RSPCA on:

P: (03) 9224 2222

Can you help the animals affected by fire? Please complete this form detailing the type of help you can offer.

If we can accept your generous offer, we will contact you soon.

Thank you in anticipation of your support.

Your details -

If you currently do not have a permanent contact phone number or address, please list the details of a family member of friend where we can contact you.

Title:

First name:

Surname:

Street address 1:

Street address 2:

Suburb/Town:

Post code:

State:

Day phone:

Evening phone:

Mobile:

Email:

What sort of assistance can you offer?

Any other information you think maybe relevant:
e.g. veterinary skills

RSPCA Victoria agrees to use the information provided only for the purposes indicated – that is, to support the emergency relief for the victims of the
Victorian bushfires and to provide further information from RSPCA Victoria (unless you have indicated you do not wish to receive further information).
Other than this, RSPCA Victoria will not provide your contact details to any other party without your permission. Click here to view our privacy policy.