Registration

Title *   Mr Ms Mrs

First name *

Surname *

Nickname (to use in the reviews)

Email address *

Confirm email address *

Password (must be at least 8 characters, letters and numbers only) *

Repeat password *

Sight   Fully sighted Partially sighted Totally blind

What prompted you to register *   Advert on Facebook Facebook page Twitter page Internet search Guide Dogs website Friend/Relative Local Guide Dogs Centre/Representative Guide Dogs speaker Blue Peter programme Local newspaper radio Forward Magazine Guide Dog Matters

Would you like to receive further mailings from Guide Dogs? *   Yes No