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Join Coastguard

Complete this form below and "Submit" it electronically,
or download the form, print it, complete it and Mail to us.

Area of Boating:
select 		Application Type:
select
       
*denotes mandatory field
     
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
  Boat Details:      
 
Boat Name
  Radio Equipment
  Boat Make  
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