Call Sign Application

New callsign applications can be made online for a one-off cost of NZD$30.00, payable by credit card. Please complete the following form.

Owners Details

Name: *
Address: *






Date of Birth: *
Phone: *
Mobile:
Email:

Emergency Contact (Mandatory - someone not normally on the boat with you)

Name: *
Relationship: *
Address:






Phone: *
Mobile:

Boat Details

Boat Name: Type: Select Powerboat Launch Trailer Sailer Yacht RiB Dinghy Kayak PWC Other *
Make:
Model:
Hull construction: Select Fibreglass Aluminium Steel Wood Glass/Ply Ferro Composite Rubber Plastic Other *

Length:

metres *

Equipment Carried

VHF Fixed

VHF Handheld

GPS Fixed

GPS Handheld

EPIRB

Fire extinguisher

Radar

SSB

Flares

Chart Plotter

Lifejackets

Engine(s)

Engine Type: Select Outboard Inboard
Fuel: n/a Petrol Diesel
HP:
Max speed (knots):
Number of engines:
Auxiliary Engine:

Yes No

If Yes - HP:

Where and how kept

Trailered at home Trailer reg number:
Trailered at:
Marina:
Mooring:

Colour

Hull: *
Deck/Cabin: *
Trim:
Canopy:

Sail Colour:
Rig Type:
Sail No:
Hardtop

Partnerships

    

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