Small Craft Insurance Quote Form
*required
OWNER(S):
*
Forenames:
*
Surname:
*
Address :
*
Postcode:
*
Tel no. (home)
Tel no. (mobile)
Fax no.
*
Email address:
*
Date of birth:
-
01
02
03
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31
Day
-
January
February
March
April
May
June
July
August
September
October
November
December
Month
Year
(e.g. 1980)
*
Occupation:
CRAFT:
Name:
Type/make:
Length:
Year built:
(e.g. 2002)
Hull material:
Engine Make:
In:
or
Outboard:
H.P.
Maximum design speed:
SUMS INSURED:
Craft
£
Tender
£
O/board
£
Trailer
£
Effects
£
TOTAL:
£
Date purchased:
-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
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29
30
31
Day
-
January
February
March
April
May
June
July
August
September
October
November
December
Month
Year
(e.g. 1980)
Price paid:
£
CRUISING RANGE:
UK non-tidal:
All UK:
Continent Elbe to Brest:
Other:
MOORING:
Marina berth:
Alongside:
Fore & aft:
Swinging:
Ashore at:
LAID UP:
Ashore:
Marina:
Mud berth:
Afloat for:
Months
from:
-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
-
January
February
March
April
May
June
July
August
September
October
November
December
Month
Year
(e.g. 1980)
at:
YES
NO
Surveyed
Date:
By:
Experience:
years:
Qualifications:
No claims bonus
Current:
years with:
Losses, claims or accidents in past 5 years:
details:
Cover required for:
Charter/hire/houseboat
use:
Transit
(other than within boatyard):
Water skiing cover
British waterski federation no.
Towing cover for toys: rings, doughnuts, bananas
Racing: sails/spars/rigging
Replacement cost: £
© 2008 H R Jennings & Co Limited are authorised and regulated by the Financial Services Authority
Registered address: 21 Buckle Street, London E1 8NN
