Quotation

Please complete the form below and press the submit button, we will the respond with our personalised quotation. Alternatively please click here and download the form which you can then complete and either post or email to us. Please click contact us for addresses.

CUSTOMER DETAILS

TITLE
FORENAME:
SURNAME:
OCCUPATION
DATE OF BIRTH
ADDRESS 1
ADDRESS 2
TOWN
POSTCODE
COUNTRY
PHONE (PRIVATE)
PHONE (MOBILE)
EMAIL (1)
EMAIL(2)


YACHT DETAILS

YACHT NAME:
MAKE/MODEL
PRICE PAID
YEAR BUILT
DATE PURCHASED
LENGTH
ENGINE MAKE
FUEL TYPE
HULL MATERIAL
PORT OF REGISTRY


SUMS INSURED

HULL:
Your requested Yachts insurance value excluding items below, e.g. dinghy, outboard motor etc.

DINGHY

OUTBOARD
MOTOR


PERSONAL EFFECTS
Please note that it is not the intention that the yacht policy should cover items more properly insured under your household policy.

SPECIAL EQUIPMENT
Electronic gear and the like, that would not subsequently be sold with the vessel.

LIFERAFT

TOTAL

THIRD PARTY LIABILITY
Your Marina/Harbour Authority may require a minimum.

WATERSKIING   Please indicate YES or NO
WATERTOYS   Please indicate how many


OTHER INFORMATION

CRUISING AREA
please indicate by selecting an appropriate box

UK & EIRE
INLAND COASTAL
UK - ELBE TO
LA ROCHELLE
UK - ELBE TO
GIBRALTAR
MED : Not East of Long: ˚EAST

OTHER
(Please state)


CHARTER   Please indicate YES or NO
If yes, please indicate Skipper or Bareboat charter:  

RACING   Please indicate YES or NO Please give details on the additional information box
MOORING MARINA
MOORING LOCATION/TYPE
Please use the additional information box to give full details including type e.g. buoy / piles,exact location and who is responsible for maintenance.

MONTHS IN COMMISSION

EXPERIENCE
Please use the additional information box if more space needed.
QUALIFICATIONS
Please use the additional information box if more space needed.

HOW MANY CONTINUOUS YEARS HAVE YOU OWNED A BOAT WITHOUT A CLAIM:       
Please give details of claims with dates in the box below

CONVICTIONS
(Not MOTOR)

Please use the additional information box if more space needed.

EXISTING
INSURER (Optional)
RENEWAL DATE
EXISTING PREMIUM


ADDITIONAL INFORMATION


From where did you hear about us?

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