Online Work Authorisation Form – Mainstream Marine

work-authorisation-form-mainstream-marine-gold-coast-queensland

Our Work Authorisation Process Can Now be Performed Online

Lost? Our old form is still available for download here.

Customer Details

(*Must be completed)

*Name/Buisness Name:

ABN:

*Address:

*Postal Address:

*Mobile:

*Phone:

*Email Address:

*Fax:

Vessel Details

*Name:

*Vessel Rego:

*Type and Make:

*Vessel Key Location:

*Vessel Location:

Details of Work Requested

*List The Details of Work you would Like to Request:

  • AUTHORITY: As the Customer I authorise Mainstream Marine to carry out the above requested work.
  • MEANS AND ABILITY: I the Customer warrant that I have the present and future ability to pay for all costs incurred, including labour, parts and materials, upon completion of the above mentioned work.means-and-liability
  • TERMS & CONDITIONS: I the Customer have read and agree with Mainstream Marine’s Terms and Conditions, which are stated in links provided here, and further agree to adhere to Mainstream Marine’s Terms and Conditions.
  • CUSTOMER SIGNATORY DETAILS:
    • *Name/Company Name:
    • *Position:
    • *Contact Phone Number:

NOTE: Any deposits due, must be paid before any goods will be ordered or work commenced.

*I have read and accept all points on this form and I have read, agree with and further agree to adhere to Mainstream Marine’s Terms and Conditions

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>