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Become a supporter of the Westpac Rescue Helicopter Service, request a newsletter or for further information on fundraising events in your community, please enter your details below.

Only the User Name and E-mail address fields are compulsory (denoted by *).

Once you have completed the form, please double check your email address, then click the "Submit" button.

If you wish to place orders on-line please also enter a shipping address and complete all of the address fields.  You may also do this at time of purchase.

Compulsory Details

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Optional Details

Required for online ordering

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Delivery Details

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Same as Postal Address above.