Update Details - NEW ZEALAND FIREFIGHTERS WELFARE SOCIETY

Before submitting give us a call on 0800 65 34 73.
Note, funeral benefit applies up to the age of 65.

* Indicates required field

I want to *

Name *

First

Last

Phone Number *

Email *

Date of Brith *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Update Next of Kin *

Funeral Benefit - please allocate % to each person *

Submit