Shelly Park Cruising Club Mooring Service Concent Form Client Consent FormDear ClientThis document represents an application to Hauraki Marine Services 2016 Limited (HMS) to have your mooring inspected and, if necessary, serviced. It outlines the various payment terms and service options available and gathers some of the basic information about your mooring. Once the preferred service options are selected and authorisation is signed and returned, HMS will deem this document an order to inspect your mooring against the managing authority’s recommended standards. As the client, you can select either of the following inspection and service options; Have your mooring inspected only, without a service, resulting in a mooring inspection report only. Be present at the inspection of your mooring to witness the mooring service. HMS welcomes client attendance. However, you will have to make personal arrangements to be onsite when HMS notifies you of the service day. Have your mooring inspected and automatically maintained if necessary, from which a full work list will be provided with the invoice. Payment Terms: Inspection and maintenance charges are on 7 day invoice. Sent out with the invoice will be a draft inspection report. Only upon full payment of the seven day invoice will a signed copy of the inspection report be sent to the managing authority. Equipment supplied will remain the property of HMS until accounts are paid in full.Please choose only oneMooring OwnerMooring LeaseholderMooring AreaPrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameLast NameCouncil Inspection Due Date *PhoneEmail AddressStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeBoat DetailsBoat Name *Mooring NoBoat Weight (T)Boat Length (m)Please indicate your preferences by ticking the relevant boxesInspect my equipmentYesNoI want to be present when my equipment is inspectedYesNoInspect and maintain if necessary without notification and provide breakdown of work list with invoiceYesNoI want to upgrade the size of my mooringYesNoPlease indicate if mooring service is currently booked by another contractor?YesNoAuthorization, Client statement and Liability Disclaimer *As the client I have read, understood and agree to the above Hauraki Marine Services 2016 Limited Payment Terms. By signing this document I authorise Hauraki Marine Services 2016 Limited to inspect and service my mooring as indicated by my selections above. I understand that I bear sole responsibility for my decisions and my information. I understand that HMS may rely upon the information I have supplied. I understand that while all care and responsibility will be taken by HMS, no liability or any consequential loss will attach to HMS for loss or damage.Client Signature *On a mobile, use your finger to sign. On a computer, use your mouse to signStart signing your signature hereYour browser does not support e-Signature field.Submit