Dinghy Quotation

For you boat quotation, please complete the form below as fully as possible or contact us on 029 2023 5756

Third Party Liability £2,000,000.00
New for old on mast and sails
Cruising range - United Kingdom Inland and Coastal Waters
Plus 30 days use on the Continent of Europe
Personal Accident and Medical Cover
Legal Expenses available as an option

Details of Owner

Full Name: *

Address:

Postcode:

Occupation:

Tel Home: *

Tel Mobile:

Tel Work:

E-mail: *

Date of Birth: *

Years of Boating Experience:

Boating Qualifications:

Details of Vessel

Boat Name:

Length in feet: *

Length in metres: *

Builder: *

Type/Model: *

Hull Material:

Year Built: *

Engine:

Engine make:

Horse Power:

Max Speed in knots:

Details of Insurance

Original Price Paid:

Date Purchased:

Sum to be Insured: *

No Claims Bonus:

Date of Last Claim:

Value of Last Claim:

Reason for Claim:

Last Survey Date:

Current Insurer:

Last Premium Paid:

Navigation Limits

U.K. Inland and coastal waters

Plus Eire

Plus 30 days European

Other

Other:

Mooring location

Kept ashore at:

Mooring Location:

Dates:

Trailers

Trailer Yes No

If Yes

Wheel Clamps

Outboard engine lock

Trailer Hitch Lock

Racing Risks

Racing Risks: Yes No

If yes type of racing:

If yes value of masts, spars, sails and rigging:

How did you find us?

Bay Marine Insurance Consultants Ltd
Cardiff Marine Village, Penarth Road, CARDIFF, CF11 8TU
Tel 029 2023 5756. Fax 029 2022 9126

Bay Marine Insurance Consultants are authorised and regulated by the Financial Conduct Authority which affects all Insurance mediation carried on within the United Kingdom. Our address details and regulatory status can be found on the (FCA) Register by visiting www.fca.gov.uk. Our reference number is 308097.

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