Hervey Bay Game Fishing Club Mothership Form

Fuel Barge Requirements:
The price is per litre. Please note the amount of litres for Diesel or ULP
Deisel Per Litre
Price: $ 2.50
ULP Per Litre
Price: $ 2.50
Please note the fuel barge will only be available to refuel between 1600hrs and 1900hrs Friday only.
All fuel must be ordered and paid for by 5:00pm Friday 4th November.
Fuel prices will be Fraser Island prices.
Refuelling location will depend on the weather.
Insurance Details
Insurance Company:*
Policy Number:
Expiry Date:*
PLEASE SUPPLY A PHOTOCOPY OF CURRENT INSURANCE CONTRACT THAT IS VALID FOR TOURNAMENT DATES.
Upload the copy here:
Drop files here or

Accepted file types: pdf, jpg, doctx, Max. file size: 5 MB, Max. files: 3.
Liability and Acceptance Section
We agree*
We agree to the rules as published,
We agree to the rules as published. In consideration of you accepting me/us as a competitor, crew or guest I/we absolve HBGFC from any liability whatsoever arising or resulting from the tournament. We hereby indemnify the club against all claims, damages, costs and loss that I/we may suffer resulting from injury, damage or loss to me/us or any of my invitees, Licensees or guests and my/our property or to the property of my invitees, licensees or guests. I/we give permission for HBGFC to use the above information in any advertising.
Signed – Digital Signature if accepted*
Date Signed*
DD slash MM slash YYYY
Please Print Name:*
Vessel Name*
Mothership Bookings – Requested Bookings
Vessel Name*
Teams Contact Name:*
Teams Contact Email Address:*
Teams Contact Phone Number:*
Berth, Meals, Showers Per Person
Price: $ 575.00
Deck Swag, Meals, Showers Per Person
Price: $ 470.00
Meals, Showers Only Per Person
Price: $ 315.00
Total Amount
$ 0.00
Payment Option*
- Direct Deposit
- Credit/Debit Card
Please note the mothership has limited berths available.
Direct Deposit: Commonwealth Bank
Account Name: HBBCGFC
BSB: 064426
Account: 10472054

Please ensure you use the vessel name as reference when making the direct deposit.
Credit/Debt Card Details*
Card Details
Cardholder Name
Signature Area
Signed (Team Captain)*
Date Signed:*
DD slash MM slash YYYY
Please Print Name*
Please Check

To take part in the 2022 Game Fishing Tournament do the following:

Become a Member or already be a member of an affiliated Q.G.F.A. or G.F.A.A Club
Register for the tournament
Read the Tournament Rules
Fill in the Mothership form
Provide your vessel info for the VMR

Hervey Bay Game Fishing Club Mothership Form

Fuel Barge Requirements:

Insurance Details

Liability and Acceptance Section

Mothership Bookings – Requested Bookings

Signature Area