Become a Member

To become a WVSRG affiliate member, complete the online form below.

Membership costs $50 per year.


Your Privacy

Your personal information will not be shared with third parties.
See our Privacy Policy for more information.

Step 1 of 2

* Denotes a required field

Personal Information
First Name: *   Surname: *
Address (Line 1): *
Address (Line 2):
Suburb: *
State: *   Post Code: *
Email Address: *
Phone Number(s): (Home)
  (Work)
  (Mobile)
 
Boat Details
Do you own a boat? *

 
Please enter your boat's details below:
Reg. Number:    Length (m):
Make:    Model:
Type:
Material:
Colour: (Deck)
  (Hull)
  (Trim)
Boat Name:
Trailer Reg. Number:
Engine Make:    Engine Type:
Engine HP:    or KW:
Twin Motors?:    Auxiliary?:    HP:
Fuel Type:
Sail Number (If Yacht):
Usual Ramp:
Pen No. (If Moored):
Location:
Epirb?:    Dinghy?:
Echo Sounder?:    GPS?:
 
Does your boat have any radio(s) installed?

 
Please enter the details of your boat's primary radio:
Make:    Model:
Type:    Serial Number:
 
Please enter the details of your boat's secondary radio (if applicable):
Make:    Model:
Type:    Serial Number:
 
Choose Payment Method

Please choose your desired payment method:

Payment Method: *
We accept Bankcard, Mastercard & Visa
Payment Amount: $50.00 AUD (Inc. GST)
 
Extra Comments
Extra Comment(s):

If you are a member of any other clubs please include them here.

 
Confirmation

Yes, I wish to apply for an affiliate membership in the "Whitfords Volunteer Sea Rescue Radio Network" and will abide by the rules set down by the Australian Communications Authority with regard to radio procedures.

Once you have completed all details, click the button below to save your information. You will then be redirected to our secure payment page.