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Boat Specification Form

Your Name (required)

Your Email (required)

Captain Name

Phone number

Boat Name and Description

Boat Make and length

Boat Registration

Motor Make - Type - HP

Car Registration

Trailer Registration

Note: a trailer boat is defined as Vehicle & Trailer do not exceed - Length: 19 metres Height 4.3 metres Width 2.5 metres.

Type of Boat

Hull Colour

Deck Colour

Fuel Capacity and Type

Boat Insurance Policy - Name and Policy Number and expiry date

List 27MHZ Radio Frequencies

Do you have on Board Safety Items that are required by law in NSW off shore waters?
 Yes No

Other Notes

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