Watercraft Insurance
GET BOAT INSURANCE
Please provide the following details about your watercraft:
Year Built
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Year of Purchase
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Make
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Manufacturer
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Model
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Class
Bass Boat
Small Watercraft (Canoe, Kayak, etc.)
Fishing Boat
Runabout
Ski Boat
Sport Boat
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Length (ft)
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Max Speed (mph)
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Total Value ($)
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Hull ID
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Number of Engine(s):
1
2
3
4
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Engine Type
Inboard
Inboard/Outboard
Outboard
Pod/IPS/Zeus
Air Prop
Jet
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Have you had any boating claims/loss within last 5 years?
Yes
No
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Please detail the amount lost:
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Has any insurance coverage ever been cancelled or refused?
Yes
No
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D you require water skiing and towing of toys?
Yes
No
Water Skiing Only
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Do you have a current survey for the vessel less than 5 years old?
Yes
No
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Next >
Please fill out the following information below:
Name of Referring Dealership or Company
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Applicant Full Name:
(*)
Please enter your full name
Phone Number
(*)
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E-mail
(*)
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Address 1:
(*)
Please tell us your address
Address 2:
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Postal Code:
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Please select your qualifications:
International Certificate of Competency (ICC)
RYA Helmsman Course
RYA Powerboat Level 1
RYA Powerboat Level 2
RYA Powerboat Intermediate
RYA Powerboat Advanced
RYA Powerboat Instructor
RYA Day Skipper (tidal)
RYA Day Skipper (non-tidal)
RYA Coastal Skipper (tidal)
RYA Coastal Skipper (non-tidal)
RYA Yachtmast Offshore
RYA Yachtmast Ocean
RYA Yachtmast Commercial Endorsement
RYA Yachtmast Instructor
RYA PWC Course
RYA PWC Instructor
Other
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Please list your qualifications:
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What is your sailing experience?
1-2 Years
2-3 Years
Over 3 Years
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