Red fields are required to supply quote
Please contact me by
e-mail post phone
Title
Sir Ms Dr Mr Rev Lord Mrs
Forename
Surname
Address
Postcode
E-Mail address
Contact telephone number
Occupation
Type of craft
Barge Catamaran Dinghy Motor Yacht Motorsailer narrowboat RIB Sailing Yacht Speed Boat
Make/Model/Type/Class
Name of craft
Year of build
Year of last Survey
If your vessel is over 20 years of age please note we may need to see an out of water survey report. Dependant upon the size of vessel we may accept a boatyard condition report where agreed by underwriters. For craft under 22ft we may accept an owners condition report supported by a recent photograph.
Purchase date
dd mm YYYY
Length
feet metres
Hull Material
GRP (fibreglass) wood steel aluminium ferro cement other
Total sum insured
£ (To include dinghies, trailers, outboard motors and personal effects etc.)
Fuel type
none petrol electric diesel
Max design speed
less than 17 knots 18 - 30 knots 31 - 40 knots 41 - 50 knots
Mooring location
Type of mooring
Marina pontoon berth Swinging mooring Pile Moorings Alongside non-marina Ashore Ashore in locked building Other
Is the craft laid up in winter
yes no
Location
Not Applicable Ashore Afloat
Lay up location
Registered in England & Wales No . 471115 - Financial Services Authority Reg No. 312171 Website by U2R Design & C. Stock