ANIMAL RELIEF ITEMS DONATION

If you wish to donate any Animal Welfare or Relief items to assist with providing relief during an emergency please fill out the form below

Animal Relief Donations

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Post Code

Country

Email

Phone Contact #1 (Mobile, Home, Work)

Alt Phone Contact #2 (Mobile, Home, Work)

Donation Offer Items

Dog Food (wet/dry)

Cat Food (wet/dry)

Other Food

Dog Bed

Cat Bed

Other Type of Bedding

Cat Transport Crates

Dog Transport Crates

Other Type of Transport

Donation Offer Items (continued)

Dog Feeding Bowls

Cat feeding Bowls

Dog Leads

Cat/Dog Collars

Poop Scoops

Cat Litter Treys

Cat Litter

Aniaml Washing Items

Other Items

If you ticked other plese supply further infomation below

I consent to The Bushfire Foundation Inc using the Information i have supplied for the purpose of there animal disaster relief program and am aware that the items i have listed may be requested in an emergency or disaster situation.

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