Bushfire Volunteers is proud to have negotiated with the Coles Group to manage the distribution of its generous $500 gift card to Volunteer Bush Fire Brigades in WA.

Ask the authorised representative of your Brigade to complete the form below to register to receive the gift card.

A limit of one card per Brigade applies. The details of each submission will be confirmed and no card will be dispatched until this is possible. To ensure appropriate security, the unique IP address of your device will be recorded when you press submit.

If you have any technical problems with the form or other questions, please email coles@bushfire.org.au