REGISTRATION FORM.
LOGIN:
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This denotes a required field.
Owner's name:
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Your name will not appear
on the Gallery page.
Address
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State:
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Select State
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Postal Code:
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Home Phone:
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Mobile:
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E-mail:
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Confirm E-mail:
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Password:
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Must be 10 characters numbers only.
No spaces or symbols please.
Confirm Password:
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Animal Lovers mail:
Lort Smith Mail:
Book time:
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Select Booking Time
MORNING
10:00 - 11:00
11:00 - 12:00
AFTERNOON
12:00 - 1:00
1:00 - 2:00
2:00 - 3:00
3:00 - 4:00
Or
Check schedule:
PET PROFILE.
Dog's Name:
*
Breed:
*
Dog Breeds will be listed alphabetically
for gallery search engine.
My Dog Photo:
Max 1Mb.
Don’t have a photo right now?
Revisit the Gallery Page and Login
to update your Dogs profile photo / info.
PAYMENT OPTIONS.
Registration for the dog wash and to receive your free showbag is $35.00
Pay Pal/Credit Card:
To pay via credit card please use Pay Pal. You do not have to become a member to use Pay Pal
Bank Deposit:
ANZ Neo Tokyo Pty Ltd BSB 013 275 Acc no 250574007
Please include your name with your deposit
Cheque/Money Order:
PO Box 2082 Fitzroy VIC 3065
In Person:
439 Brunswick Street Fitzroy VIC 3065 (7 days 11am-5pm)
Phone: (03) 9078 2458
Email confirmation will be automatically sent at the completion of registration
Check here to also receive your registration by post.
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