Trades Registration Form

Company Details

Name of Company

ABN

Address

Suburb

State

Post Code

Work Phone

Mobile Number

Email

Upload Files

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Maximum file size: 5 MB

I have attached a copy of my (please tick): *

Public Liability/Third Party Insurance (showing no less than $10,000,000)

Workers' Compensation

Ship Repairers' Insurance

Other Relevant Insurance (Please Specify)Other Relevant Insurance (Please Specify)

Annual passes

I require the following number of annual passes

Annual Trades "Principal" Passes (Member)

Annual Trades "Principal" Passes (Non-Member)

Annual Trades Additional Employee

Annual Trades Additional Keys

Annual Trades Additional Stickers

Annual Ramp Pass (boat brokers to launch non-members boats)

Employees

Please list all employees' names including principal employee/owner

First Name

Last Name

Phone

Vehicle Registration

First Name

Last Name

Phone

Vehicle Registration

First Name

Last Name

Phone

Vehicle Registration

First Name

Last Name

Phone

Vehicle Registration

First Name

Last Name

Phone

Vehicle Registration

First Name

Last Name

Phone

Vehicle Registration

First Name

Last Name

Phone

Vehicle Registration

First Name

Last Name

Phone

Vehicle Registration

First Name

Last Name

Phone

Vehicle Registration

First Name

Last Name

Phone

Vehicle Registration

Blue Water Bulletin

I agree to being listed as a Trade on FSC's Website and Blue Water Bulletin *

Yes

No

Preferred details for advertisement are:

Name

Phone

Please click the below links to view/download the respective documents

Works Area Policy and Information Booklet

Emergency Plan

I confirm I have read and understood the information found in the Boatyard Information Booklet and FSC Emergency Plan Document As the Company owner or authorised personnel, I acknowledge and agree to the above Safe Work Practice requirements and the FSC Rules. I acknowledge and agree that all employees will be required to complete a new induction in the coming months for all issued trades and passes to be valid.

Name

Date:

Signature (Print Name)

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