Contact Request

horizontal rule

The purpose of this form is to enable ORIGINAL contact between old friends and shipmates. The information you supply will be passed on to the member  you request. The responsibility of reply will be with the nominated member. If you are trying to locate a person not on our list, attempts will be made through the association to locate contact details and you will be advised. This may take time!

  1. Please provide your following details for member contact:

    First Name *
    Last Name *
    Work Phone
    Home Phone *
    E-mail *
    Date *ddmmyyyy format
    * must be completed

    Enter Details of Person
    You Wish to Contact   

    Please be brief      


                                                                            Back to Members Page - Site Map

horizontal rule

Copyright 2001 A.N.V.V.W.A.(W.A.). All rights reserved.