Courtesy Car"*" indicates required fields Vessel Name:*First Name (Driver)*Middle Name/s (Driver):The nominated person has no middle name listed on their driver license: Surname (Driver)*Date of Birth (Driver)* DD slash MM slash YYYY Mobile Phone Number (Driver)*Address* Street Address Address Line 2 City State Post code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Drivers LicenseDrivers Licence Number*Expiry Date:* DD slash MM slash YYYY State of Issue:* State / Province / Region Courtesy Car AgreementThe courtesy vehicles are made available to the customer as an agreement which is subject to the following conditions: I/we understand fully that I am/we are responsible for:*1. Drivers must have a valid Australian driver's license, be over 21 years old and have more than 12 months driving experience for the required class of license. 2. Any damages mechanical or otherwise caused to the motor vehicle are to be reported to Coral Sea Marina and I am liable for the full cost (to a maximum excess of $5000) of any loss or damage to the vehicle. 3. The exterior, interior and mechanical condition of the concierge vehicles are good – if you, the customer do not agree then please see the office before departure and notify of any issue areas. 4. Any damage to the vehicles including damage to body paint, trim or mechanical components as a result of accident or collision to be reported as soon as possible to Coral Sea Marina office staff and I am liable for the full cost of repair. 4. Damage to third party vehicles will be covered by the vehicle's Motor policy however I am responsible for payment of Coral Sea Marina's $2500 basic excess. 5. Abide all QLD road rules at all times whilst operating the vehicle. 6. If any traffic infringements are incurred whilst the vehicle is in my possession, I agree to pay all fines. (i.e. Parking/Speeding/ Red Light Camera Fines) 7. There is NO SMOKING or PETS permitted in the car at all times (certified Guide or Assistance dogs are exempt) 8. That if the vehicle is returned in an unclean condition a charge to me will be made for such cleaning. 9. The vehicles are only permitted to be driven within the suburbs of Airlie Beach, Jubilee Pocket and Cannonvale for a maximum time period of 2 hours. 10. The courtesy vehicle can only be utilised up to 2 times per week per customer to allow all customers’ access to the service. 11. The vehicle is not to be used to transport Fuel, Gas or Dangerous Goods. 12. The vehicle is not to be used for towing at any time. 13. The Courtesy Vehicles are only available to customers currently staying in the marina at the time of loan and can only be driven by nominated drivers. I have acknowledge that I have read, understood and agree to be bound by the Terms & Conditions, in relation to using the courtesy cars provided by Coral Sea Marina Resort.CAPTCHAEmailThis field is for validation purposes and should be left unchanged.Δ