Animal Welfare Organisation Sign-Up Form

Join our group of animal welfare organisations who support our green bio-burials by simply completing the form below. Once we have received your sign-up form we will review and confirm your application and communicate further. For rates, contact our office.

ORGANISATION DETAILS

Animal Welfare Organisation sign-up form

Name of Animal Welfare Organisation *

Organisation Registration Number *

VAT Number (if applicable)

Address for Collection *

GPS location (please copy and paste from Google Maps)

Organisation Phone Number *

Organisation Email Address *

Name and Surname of person responsible for payments *

Telephone number of person responsible for payments *

Email Address of person responsible for payments *

Name and Surname of person responsible for collections *

Telephone number of person responsible for collections *

Email address of person responsible for collections *

COLLECTION OPTIONS *

Specify collection frequency, e.g. once a week, once a month (only fill in if you have chosen option 3 in the above question)

PAYMENT OPTIONS *

If you are human, leave this field blank.

Animal Welfare Organisation Sign-Up Form

ORGANISATION DETAILS

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