Marine Insurance

Home » Insurance Free Quotation » Marine Insurance

Please fill-in following form

Information about the subscriber

- Title

-

First name (required)

-

Last name (required)

Your Email (required)

-

Telephone (required)

-Town of residence (required)

-

Town ZIP Code :

-

Country of residence (required) :

Nationality (required) :

-

Date of birth (required) format dd/mm/yyyy

Profession (required) :

Information about the vessel

Yacht is used for :

-Vessel name (required) :

-

Name Builder (required) :

-Model (required) :

-

Length over all in meters (required) :

-

Year built (required) dd/mm/yyyy:

- Material of hull (required) :

-

Home port (required) :

Flag (required):

-

Navigation area (required) :

-Past claims All in the past 5 years (required) :

-

If vessel laid up (required) :

Engines

-Make (required) :

-

Number of (required) :

-Horse Power each (required) :

-

Engines year built (required) dd/mm/yyyy :

Fuel type :

Crew

Crew type :

-Number of permanent crew (required) :

-

Number of seasonal crew (required) :


Values

-Hull and Machinery (required) :

-

Increased value (required) :

-Third Party Liability (required) :

-

Water Skiers Liability (required) :

-Personal effects (required) :

-

Other (required) :

Please recopy this validation code into the field below captcha

[bws_google_captcha]

Please send me a free, no obligation, quotation based on the above :