Name * Address Phone Email * Amount I agree to donate to Healthy Pets New Zealand: Select$25$50$100Other Amount (other) Frequency SelectOne-offMonthlyQuarterlyAnnually Starting on Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year202220232024 Payment options Please invoice me I make a donation through Give-A-Little https://givealittle.co.nz/org/healthypets I will set up a direct debit with my bank Healthy Pets New Zealand bank account details: Westpac 03-0445-0288115-000 PawPrint newsletter * Would you like to receive our Quarterly PawPrint e-newsletter? Yes No Contacts and your data * Healthy Pets New Zealand will never exchange or sell your information to another organisation for their own marketing purposes. Healthy Pets New Zealand would like to use your personal data to contact you about our research and to help us raise vital funds. If you are happy to receive marketing and fundraising information in any of the following ways please check the relevant boxes. Email Text Phone Mail Thank you for supporting Healthy Pets New Zealand! We really appreciate your help in raising funds to support research that will help improve the health of companion animals throughout New Zealand. Please share your support for Healthy Pets New Zealand with your friends and family. The more people who care about what we do, the more we can help our furry companions live healtheir lives Healthy Pets New Zealand is a registered charity CC32373. NZBN number 9429043031733. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.