Payment by credit card:
Monthly amount $
Card holder’s Signature:
Cardholder’s Name:
Card type: Visa Mastercard Amex
Exp /
Credit card number:
Each puppy takes two years and
more than $Îä,000 to train. We
receive no government funding
so rely heavily on the generosity
of people like you to carry out
this vital work.
Free Call 1800 688 364
Or simply post the attached form
Or visit http://www.assistancedogs.org.au
SPONSOR A
PUPPY AND
GIVE SOMEONE
WITH A DISABILITY
A NEW LEASH
ON LIFE.
Title: First Name(s):
Surname:
Address:
Suburb:
Town/city:
Postcode:
Phone:
Email:
Just fill in this form and post to Assistance Dogs Australia,
PO Box 503, Surry Hills, NSW 2010 or fax it to 02 9699 1171
Thank you!
(min $20)
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