Individual Supporter Form -

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*Required information.

The Following Annual Subscription Is Applicable For One Year

IMRF Support - € 30 Euro per annum (you can give more if you wish)


Notes on Completion of Application Form

Your personal information will only be used for the application, newsletters and other issues to do with your subscription. Your personal information will not be sold or given to third parties.


Your Details

Title
First Name *
Surname *
Organisation (Optional)
House Name or Number *
Street *
Town/City *
County/State/Providence
Postal Code/Zip (if Any)
Country/Territory *
E-mail Address *
Telephone Number Optional


How Did You Hear From Us?

(tick box(es) if applicable)


Why Have You Chosen to Support the IMRF?

We would like to know why you have chosen to support the IMRF. By knowing your reason(s), we are able to improve our services.


Subscription Declaration -

I do hereby declare, –

1. That the information provided of the attached IMRF Application form, or otherwise provided to the International Maritime Rescue Federation, in support of this application, is true, up to date and accurate and that we have retained a copy of the information provided.

I further understand and agree –

2. That International Maritime Rescue Federation, in fulfilment of its purpose, may collectively represent its member organisations at international and intergovernmental forums and to the public.

3. That, we understand that Supporter of IMRF is contingent on payment of the annual subscription and in each subsequent year after this.

By clicking on Send you will submit this IMRF Support form and you will receive a confirmation by e-mail. You will be taken to the next page to pay by Paypal. You can use your Paypal account (or set one up in minutes), or you can pay by credit card. If you have any questions, please contact us at admin.aprc@imrf.asia

APRC Contact

International Maritime Rescue Federation
Asia Pacific Regional Centre
Donghai Rescue Bureau
Room 405
No. 1426 Yang Shu Pu Road
Shanghai
200090
China

E-mail: admin.aprc@imrf.asia
Telephone: +86 21 55 09 53 01

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