Become a Registered Speaker

We are frequently asked to give short presentations to service groups, clubs and other gatherings; however, we have limited people trained to undertake such engagements. 

If you wish to be considered as a possible speaker, we will endeavour to provide appropriate training and resources to enable you to undertake such engagements once approved by us.  Speakers provide their services on a voluntary basis, free of charge.

Please print the form below and complete to apply to become a registered speaker.

Post to:
Hearing Dogs
PO Box 8117
New Plymouth

Or Fax: 06 769 5400

I am interested in becoming a Registered Speaker for Hearing Dogs.
Please contact me to discuss this.

Mr/Mrs/Ms/
Miss/Dr/other:      _____
Name:     ________________________________________
     
Postal Address:     ________________________________________
    
________________________________________
    
________________________________________
     
Phone:     ___________________ Fax:__________________
     
Email:     ________________________________________
     
     
Signed:     ________________________________________

(Optional) Enclosed my donation of: $

(Cheques payable to 'Hearing Dogs for Deaf People NZ')

I wish to pay by     Mastercard                Visa
Card Number:     ______________________________________
     
Name on card:     ______________________________________
     
Expiry Date:     __________________

Donations of $5 or more are tax-deductible. We will send you a receipt.

Email: info@hearingdogs.org.nz