Registration

Register, Renew, Order or Donate

Please fill out the form below or download and post this PDF form.

Your Name *
Your Name
Mailing Address *
Mailing Address
Please use the City field for your City, Town or Suburb.
Phone *
Phone
Mobile
Mobile
Are you an Area Contact or Drop-Off-Depot (DOD)?
If not, are you willing to be an Area Contact or DOD?
Would you like to purchase the 'Wrap with Love Story' DVD at $5 each?
Would you like to make a donation?
$

Please post your cheque made payable to Wrap with Love Inc. PO Box 10, Rosebery, NSW 1445, Australia
OR
You can make a deposit to our Commonwealth Bank Society Account:

  • BSB 062112
  • Account 10129742
  • Please remember to include your name on your electronic bank transfer

Wrap With Love Inc
PO Box 10, Rosebery NSW 1445, Australia

Thank You