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Boat Quote

Your Details

Full name: (incl Title) *

Contact telephone number: *

Date of Birth *

Email address: *

Contacting You

Preferred contact method: *

Preferred contact time: *

How did you hear about us? *

Duty of Disclosure

Ever had any insurance cancelled or declined or special terms imposed?

YesNo

Ever been charged or convicted of any criminal offence or declared bankrupt?

YesNo

Have you had any accidents or claims in the last 5 years?

YesNo

Hull Details

Purchase Date:

Price:

Name of Vessel:

Year of Manufacture:

Make:

Type:

Construction:

Length:

Speed:

Registration:

Sum Insured:

Motor Details

Year of Manufacture:

Make:

Serial No :

Size:

Motor:

Fuel:

Sum Insured:

Accessories

Description:

Sum Insured:

Sails, masts, spars or rigging?

YesNo

Constructed from:

Trailer Details

Year of Manufacture:

Make:

Registration:

Sum Insured:

Liability

Do you require cover for racing?

YesNo

Do you require water skiers liability?

YesNo

Has the boat been modified:

YesNo

If yes, please describe:

Is the boat moored:

YesNo

If yes, please note the location:

Postcode where boat is kept:

Claims Experience

Please provide full details of any claims made and/or losses suffered under previous Pleasurecraft Insurance during the past 5 years (whether or not a claim was made):

General Questions

Please use this box to provide any further information that may be relevant to your Pleasurecraft Insurance policy:

Current Pleasurecraft Insurance provider:

Renewal date of existing insurance/date cover to start (as applicable):

Current Pleasurecraft Insurance premium:

Are you an existing customer? *

YesNo