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2013 Vinnies Doorknock Registration Form
The Vinnies Doorknock Appeal is held each February to raise much-needed funds for people in need in the Canberra region. During the 2013 Doorknock Appeal, the Society is hoping to raise $300,000.

Monies raised through the appeal help fund a range of services provided by Vinnies - from the unique home visitation service through to emergency accommodation, and the Young Carers' program.

This form will invite you to register as an individual, school student or as part of an organisation. If you are a school student, you will need someone to partner you. Your details will be retained and used solely for 2013 Vinnies Doorknock unless you give us permission to do otherwise.

Click here for our privacy policy.
You must be 16 years of age or older as of 1 February 2013 to register as a door-knocker. If you won't be, ask a person 18 years or older to door knock with you and register on your behalf.

Will you will be 16 years of age or older on 01/02/13?
You must be 16 years of age or older as of 1st February, 2013. Please check this box if you will be - otherwise please ask someone who will be old enough and who will accompany you to register.
   
What best describes you?
Please indicate what best describes you.
What is your school or college?
Please indicate your school or college.
What is the name of your organisation or company?
Please tell us your company name.
   
Gender
Please indicate your gender.
First Name
Please enter your first name.
Last Name
Please enter your last name.
Residential Address (Optional)
Invalid Input
Residential Suburb
Please indicate the suburb where you live.
Suburb if 'Other'
Invalid Input
Post Code
Please provide your residential post code.
   
Please provide the best phone number to reach you. Even though providing an email address is optional, it works best for you to provide one.
Phone
Please enter either a mobile or a landline preceded with an area code. Enter the number with no spaces.
Your email* (optional)
Please enter a valid email address.
Re-enter email
Please re-enter your email address.
* NOTE: By providing your email, you will make it easier to communicate with you about important information.
   
School Student
If you're a school student, you must doorknock with another person. If you know who that will be, please indicate their name below. If you don't know now, you can email their name to us later.

Group
If you intend to doorknock as part of a group and you know who will be joining you, please indicate their names here. If you don't know now, you can email them to us later.

Single
Select this option if you will be doorknocking on your own or with children under the age of 16.
Type of registration
Please enter what type of registration this is. If you are representing a team or a family, we will communicate with you later about who is in your group.
Group member names
Invalid Input
   
Please indicate your preferred suburb to door knock in. It works best if you select a suburb close to where you live so we can easily deliver, or you can pick up, your door knock materials.
Where would you like to door knock?
Please indicated what suburb you'd prefer to door knock in.
If necessary, would you be willing to doorknock in a different suburb or region?
Flexibility
Please let us know if you are willing to doorknock in a different suburb or region.
   
How did you find out about registering for Vinnies Doorknock?
Please tell us where you heard about Vinnies Doorknock.
Please specify if "other"
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I would like to know more about volunteering with St Vincent de Paul Society
Please let us know if you're interested in other volunteering
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Need help with this form? Ring Rene Sutherland on 02 6234 7348.