SIGNUP | MARINE RESCUE WHIT

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Annual Membership $50

First Name

Last Name

Address

Suburb

Postcode

State

Mobile Ph

Home Ph

Do you own a boat?

Thanks for signing up as a Radio Subscriber. We will be in touch with your new Call Sign as soon as your application has been processed

Emergency Contact Name

Emergency Contact Ph #

Boat Registration Number

Vessel Length (Metres)

Vessel Weight (Tonnes)

Vessel Type

Hull Colour

Trim Colour

Deck Colour

Vessel Material

Usual Boat Ramp or Marina

Other Ramp Not Listed

Is Vessel Moored in a Pen?

Where is your pen located?

Pen Number

Trailer Registration Number

Do you have Any Radios Installed?

Primary Radio

Do you have a secondary radio Installed?

Secondary Radio

Yes I wish to apply for affilate membership to the Marine Rescue Whitfords Radio Network (VJ6LQ) and understand that any information pertaining to my personal and/or vessel details may be disclosed to any agencies involved in a Search & Rescue (SAR) incident. I accept all responsibility to ensure the information supplied is accurate and up to date. Furthermore, I understand Marine Rescue Whitfords accepts no liability in respect to information I have supplied in the event that a Search and Rescue Incident is undertaken and furthermore agree to abide by the rules set down by the Australian Communications Authority with regard to radio procedures. I have also read the Groups Privacy Policy in respect to how my information is collected and disclosed to 3rd Parties

MARINE ASSITANCE & LOG ON
08 9401 3757 (24HR)

MARINE ASSITANCE & LOG ON
08 9401 3757 (24HR)

In a Life Threatening Emergency Call Triple 000 or Water Police 08 9442 8600

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Existing Radio Subscribers can renew your subscription here

Please read our Privacy Policy in regard to how we use your information here