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Street Appeal Collector Sign Up Form
Thanks for donating your time to help us support vulnerable whānau, living in Otago.
Your Info
Persons name
First name
Last name
Email address
Home phone
Cell phone
Preferred contact method
Email
Text
Letter
Phone
Facebook
Slack
Cell
Are you collecting for an organisation?
No
Yes
If yes, please name your organisation
Availability
Your coordinator will contact you closer to the time to arrange exact location and time
When can you collect?
Let us know what time frame you are available
Collection Location
Where are you available to collect?
Suburb
Dunedin Central
Dunedin South
Will you be collecting with a friend/family member?
Yes
No
Any information you'd like passed on to our team?
You will receive updates about Street Appeal, but we’d also love to email you about how your support is making a difference and how you can donate and help in other ways, as well as to keep you up to date with our news and services. You can change your mind at any time by clicking on the unsubscribe link in our emails.
Yes, please email me
Submit
Please check the highlighted fields
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