Hervey Bay Game Fishing Club Mothership Form Fuel Barge Requirements:The price is per litre. Please note the amount of litres for Diesel or ULPDeisel Per Litre Price: $ 2.50 Quantity: ULP Per Litre Price: $ 2.50 Quantity: 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 5th November.Fuel prices will be Fraser Island prices.Refuelling location will depend on the weather. Insurance DetailsInsurance 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 Select files Accepted file types: pdf, jpg, doctx, Max. file size: 5 MB, Max. files: 3. Liability and Acceptance SectionWe 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 HBBCGFC 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 HBBCGFC 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 BookingsVessel Name* Teams Contact Name:* Teams Contact Email Address:* Teams Contact Phone Number:* Berth, Meals, Showers Per Person Price: $ 550.00 Quantity: Deck Swag, Meals, Showers Per Person Price: $ 450.00 Quantity: Meals, Showers Only Per Person Price: $ 300.00 Quantity: Total Amount $ 0.00 Payment Option* Direct Deposit 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.Signature AreaSigned (Team Captain)* Date Signed:* DD slash MM slash YYYY Please Print Name* Please Check To take part in the 2021 Game Fishing Tournament do the following: Become a Member 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 Membership / Renewal Form Hervey Bay GARMIN Game Fishing Club Tournament Form Hervey Bay Game Fishing Club Members Boat Information Form