Casual Berth & Mooring Application

Customer & Vessel Details

Name: Vessel Name:

Work Phone:

Length:
Home Phone: Type:
Mobile: Drive Type & No:
Fax: Keel Type:
Email: Rego:

Address: (Postal for invoicing)

Location of Keys:

Details

Is towing required? (Provide bay and number):

Towing Price Inc. GST:

Date/s required:

Price per day (Berth/Mooring) Inc. GST:

CHEQUES AND CASH ARE NOT ACCEPTED

Visa Mastercard

Card holders name:

Credit Card Number: (no spaces)

CCV:

Expiry:

I authorise the work requested above and agree to pay for labour, spare parts and materials required for that purpose at the GBM current rates and prices. I authorise GBM to debit my Credit card on completion of work using completed credit card authorisation, The Marina shall not be responsible for the loss or damage to the vessel, it's accessories or contents whilst berthed or being driven in connection with the work being authorised unless caused by the negligence of GBM or its employees. I agree to pay GBM reasonable storage charges if delivery of the vessel is not taken within two days after notice is given by GBM that the work has been completed

Gladesville Bridge Marina: 380 Victoria Place, Drummoyne NSW Australia.View marina location.
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