Work Approval Form

 

Your Details

Your First Name (required)

Your Last Name (required)

Your Email (required)

Contact Number (required)

 

Vessel details

Make (required)

Model

Engine Type (required)

Engine Model

Engine Serial Number

Vessel Name

Registration

Vessel Location (required)

Key Location (required)

 

Details of Work Required

Details (required)

 

Payment details

Card Type (required)
MastercardVisa

Cardholders Name (required)

Card Number (required)

Expiry Date MM/YYYY (required)

CCV (Last 3 digits) (required)

 

Billing Address

Unit /Street Number (required)

Street Name (required)

Suburb (required)

Postcode (required)

State (required)

 

Authorisation

Authorise (required)

I authorise the work requested above and agree to pay for labour, spare parts and materials required for that purpose at the Superior Marine Services (SMS) current rates and prices. I authorise SMS to debit my Credit card on completion of work using completed credit card authorisation, SMS 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 SMS or its employees. I agree to pay SMS reasonable storage charges if delivery of the vessel is not taken within two days after notice is given by SMS that the work has been completed.

I agree to the Terms and Conditions