Craft Type

First Name

Surname

Email Address

Confirm Email Address

Contact Telephone Number

Occupation

How Did You Hear About Us?

Date Of Birth

Sailing Experience/Qualifications

Number of years with this type of boat

Any marine no claims bonus?

Any marine claims in the last five years?

Details of any marine claims in the last five years inc cost and dates

Type of boat

Material of hull

Age of boat

Length

Engine details

Maximum speed

Type of mooring and where

Period in commission

Where is it laid up?

Cruising range

Confirm no commercial use

If racing risks required, value of mast, spars, sails and rigging

Total value to be insured

Comments