Home Page Home Page About Us About Us Membership Membership Training Courses Training Courses Weather Weather Search and Rescue Search and Rescue Radio Frequencies Radio Frequencies Contact Us Contact Us Credits Credits Site Map Site Map
Home > Membership > Join Coastguard    
  Application For Membership   Just complete this application and submit; send no money, we will invoice you.
See Membership benefits, activities and fees
To: Waihi Beach Coastguard
  Appln Type:
       
  Name and Address:   Contact Details
  Surname or Company Name *   First Names
  Street Address *   Email Address
  Postal Address   Occupation
  Suburb/Town*   Home Phone *
  City/Area*   Business Phone
  Post Code*   Mobile Phone
  Country   Radio Callsign
Spacer_100 Spacer_100 * denotes mandatory field Space_35 Spacer_100  
 
Boat Details:
  Radio Equipment
  Boat Name  
VHF
SSB
  Length ( metres)   Boat Type click only One)
  Engine -hp &,make  
Trailer Boat
Trailer Yacht
Private Launch
Private Yacht
Comm Fishing
Charter Launch
  Life Raft (# persons)  
  Yacht Category   Safety Equipment
  Colour Topsides  
Dinghy
Flares
Life Jackets
Fire Ext
EPIRB
GPS
  Colour Hull/Sides  
            
Return Return to Membership Page