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Boat Insurance
 

Boat Insurance Quotation Form

*indicates Required Fields

Full Name*

   
Email Address*
   
Date of Birth*
   
ID Number*
   
Marine Experience*
   
Marine Qualifications*
   
Particulars of Vessels
     
  Type of Vessel*
     
  Make*
     
  Model*
     
  Year of Manufacture*
     
  Registration Number*
     
  Length of Vessel*
     
  Construction Material*
     
Particulars of Engines
     
  Number of Engines*
     
  Make*
     
  Model*
     
  Year of Manufacture*
     
  Inboard / Outboard?*
     
  Fuel Type*
     
  HP (Horse Power)*
     
  Maximum Designed Speed*
     
Sums to be Insured
     
  Hull and Equipments*
     
  Special Equipment
     
  Tender / Dinghy
     
  Inboard Engines
     
  Outboard Engines
     
  Auxiliary Outboard Engines
     
  Personal Effects
     
  Trailer
     
Other Information
     
  In-Commission Period*
     
  Berthing Location*
     
  Laid-Up Location*
     
  Cruising Limits*
     
  Past Claims in the last 10 years*
     

Contact Details

These details will be only used by our Sales Representatives to contact you regarding this quotation.

Contact Number*
 
Preferred Calling Time
Between:    
and
   
   

 
 
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