Update Details

To Update Your Details:
Complete this form and then click on Submit.

Membership Number *

* Indicates required field

Name *

First

Last

Email *

Home Phone Number *

Mobile Phone Number *

Postal Address *

Town/City *

Postcode *

Boat Name *

VHF Callsign *

Boat Make/Model *

Boat Length (metres) *

Boat Colour *

Boat Type *

Motor Make and HP *

Boat Trailer Rego *

Boat Construction *

Emergency Contact Person *

Emergency Contact Phone Number *

Submit

Seaforth Road, Waihi Beach
New Zealand
07 863 4477

operations@waihibeachcoastguard.co.nz

Our essential supporters