Boating Insurance Quote

Customer

Title
Name
Firstname
Address
Address (next part)
Postal code
City
Country
Main phone
Secondary phone
Email

Boat

Boat Name
Boat Type
Shipyard
Model
Year of Construction
Length (meters)
Total Power (HP)
Flag
Homeport
Homeport country
Permit
Total Value
Since how many years
are you the owner
of this boat?

Motorization (Optional)

Motor 1

Type
Brand
Year
Power (HP)

Motor 2

Type
Brand
Year
Power (HP)

Annexe (Optional)

Brand
Model
Year
Motor Brand

Trailer (Optional)

Brand
Year
PTAC
Value

Insurance History (Optional)

Insurer
Contact Number
Number of years insured
Number of claims during the last 24 months
Total Claim Value during the last 24 months

Option(s)

Yachtcharter without skipper
Yachtcharter with skipper
Assistance
Legal protection
Regatta
Sailing in the Lesser Caribbean
Residential mooring in Corsica
Water skiing
Yachtcharter without skipper +
Yachtcharter with or without skipper

Comment (Optional)

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