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Step 1 of 3

Full name*

Email*

Phone number*

Preferred method of contact

Phone

Date cover to commence

Currency*

Full name

Phone Number

Preferred method of contact

Email Phone

Date cover to commence

Currency

Boat name

Year of build

Manufacturer & model

Construction

Please provide details

Sum insured

Home port / Marina

Type of mooring

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Cruising area

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Have you or any other person who will be in charge of the boat, had any accidents or losses in the last five years in connection with any vessel you or they have owned or handled?

Yes No

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No claims bonus (if applicable)

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