Bay Marine Insurance Consultants Ltd

pleasure craft insurance



Details of Owner
*=Required  
Full Name:*
Address:
Address:
Address:
Postcode: Occupation:
Tel Home: * Tel Mobile:
Tel Work: Fax No:
E-Mail: * Boating Experience & Qualifications:

0 years
0-2 years
2 - 5 years
5 - 10 Years
10 + Years


Details of Vessel
Boat Name:
Length: * Feet
Builder: *
Type/Model: *
Motor/Sail
Hull Material
Year Built: *
Max Speed: kts
Engine
Engine make
Horse Power: hp

Details of Insurance
Price Paid £: (Original)
Date Purchased:
Sum to be Insured £: *
No Claims Bonus: % years
Commencement Date: in commission
Date of Last Claim:
Value of Last Claim £:
Reason for Claim:
Last Survey Date:
Current Insurer:
Last Premium Paid £:

Navigation Limits U.K. Inland
U.K. Inland and coastal waters
Plus Eire
Plus Continental Waters Brest To Elbe
Plus Continental Waters La Rochelle To Elbe
Licened Operating Range
Other:

Moorings Moored at * Which is a
Mooring Type Other:

Ashore Kept ashore at
Locked Building   Locked Compound   Home Driveway

Trailers Trailer
if yes
Wheel Clamps
Outboard Enginelock
Trailer Hitch Lock

Usage Private and Pleasure   Static Houseboat   Live Aboard
Single Handed  


other:

Racing Racing Risks
if yes Value of masts, spars, sails and rigging £:

Ski Water Ski Liability
Towing Of Toys   Other 
Third Party Liability

Special Requirements
Legal Protection
Accident and Medical
Foreign Travel
Instalment Plans
Marine Finance
Recovery and Assistance
Marina Tradesmen
Loss Of Earnings
Boating Clubs
Crew Liability
Public Liability
Product Liability
Boat Sales
Boat Builders & Repairers
Other

Please tell us how to contact you
Your Name:
Your E-Mail Address:
Your Phone Number:
Your Fax Number:

How did you find us?
Boatsandoutboards.co.uk Boat Fishing Monthly
Practical Boat Owner Boat Trader
Boat Mart Catalogue
Boat and Yacht Buyer Search engine
Sea Angler Marine Scene
Other

Thank you for submitting an enquiry.
' We will contact you once we have obtained competitive quotations'

'Bay Marine Insurance Consultants Ltd
River View, 28A Cardiff Road, Taffs Well, Cardiff, CF15 7RF
Tel 029 2063 1166. Fax 029 2063 1169'

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