Volunteer Marine Rescue Gladstone Volunteers providing safety of life at sea Base: 07 4972 3333 Call sign: VMR Gladstone on VHF channel 82 Duty Controller: 0417 681 921 Facebook Join VMR Gladstone Order Number New Member Application Form Have you been a member of VMR Gladstone before? Yes No Please state previous member number if known Applicant Details - one person per form Surname * Given Names * Street Address * Town/City * Postcode * Postal Address (if different to above) Contact Details Email Address * Mobile Phone Home Phone Emergency Contact Name Emergency Contact Number Vessel Details How Many Vessels Do You Have? OneTwo Main Vessel Details Make * Length * Type * Colour * Vessel Name Vessel Registration No. * Trailer Registration No Vehicle Registration No. Does your vessel have a VHF Radio? Yes No Secondary Vessel Details Make Length Type Colour Vessel Name Vessel Registration No. Trailer Registration No Vehicle Registration No. Does your vessel have a VHF Radio? Yes No If accepted as a Member, I hereby agree to:- (1) Abide by the Rules, By-laws and Procedures of the VOLUNTEER MARINE RESCUE GLADSTONE INC. (2) Attend an Information Session scheduled by the Squadron (NOT COMPULSORY, BUT ADVISABLE). (3) If an ACTIVE member, participate in the Squadron’s Competency Based Training Program. The receipt by post of a Membership Card with official Receipt No. will confirm acceptance. MEMBERSHIP CLASSIFICATIONS ASSOCIATE — All new members and those members not participating in Unit’s activities, will be classed as Associate members, after paying an annual membership fee of $100. ACTIVE — An Active member is one who has contributed to operational activities on at least 4 occasions as rostered in the previous year. Fee for an Active member is $100 for the first year and $15 thereafter. We are always looking for Active Members. If you are interested in helping in any of the following positions, please tick the relevant boxes below. Active member positions Radio Operator Administration Boat Crew Maintenance NON RECREATIONAL MEMBERS VMRG is a volunteer organisation with principle objectives of providing a support network for those of its members involved in recreational boating, and assisting in securing the safety of the wider boating community in its area of responsibility. In instances where this assistance is provided, VMRG reserves the right to exercise, at its discretion, the recovery of expenses incurred.