Getting A Quote

The following quote request form is to be completed with as much detail as possible so we can provide you with suitable options.

Insured Details

Full name/s to be shown on the quote/ policy:*

Email address:*

Mobile phone:*

Boating experience:

Have there been any claims in the past 5 years (if yes please provide full details)

Have there been any convictions in the past 5 years (if yes please provide full details)

Vessel details required

Brand:

Name:

Length:

Construction:

Age:

Registration Number:

Engine's Brand:

Engine's hp:

Engine's age:

Mooring Type:

Mooring Location:

How long have you owned the vessel to be insured:

Sailing vessels

Mast construction:AluminumCarbonOther

Standing Rigging:WireRodCarbonOther

If “other” answered to the above questions please provide full details:

Age of standing rigging:

Is race cover required for your vessel over 100nm in length of race. If so please advise length required?

Vessel Sum Insured

Current Sum Insured for the vessel:

Current Insurer of the vessel:

Expiry date of the policy:

Additional Information

Please attach a maximum of 4 current colour photos of the vessel (4MB limit per photo):

Please attach copy of a survey which is less than 3 years old (4MB limit)

Getting A Quote

The following quote request form is to be completed with as much detail as possible so we can provide you with suitable options.

Insured Details

Full name/s to be shown on the quote/ policy:*

Email address:*

Mobile phone:*

Boating experience:

Have there been any claims in the past 5 years (if yes please provide full details)

Have there been any convictions in the past 5 years (if yes please provide full details)

Vessel details required

Brand:

Name:

Length:

Construction:

Age:

Registration Number:

Engine's Brand:

Engine's hp:

Engine's age:

Mooring Type:

Mooring Location:

How long have you owned the vessel to be insured:

Sailing vessels

Mast construction:AluminumCarbonOther

Standing Rigging:WireRodCarbonOther

If “other” answered to the above questions please provide full details:

Age of standing rigging:

Is race cover required for your vessel over 100nm in length of race. If so please advise length required?

Vessel Sum Insured

Current Sum Insured for the vessel:

Current Insurer of the vessel:

Expiry date of the policy:

Additional Information

Please attach a maximum of 4 current colour photos of the vessel (4MB limit per photo):

Please attach copy of a survey which is less than 3 years old (4MB limit)

Getting A Quote

The following quote request form is to be completed with as much detail as possible so we can provide you with suitable options.

Insured Details

Full name/s to be shown on the quote/ policy:*

Email address:*

Mobile phone:*

Boating experience:

Have there been any claims in the past 5 years (if yes please provide full details)

Have there been any convictions in the past 5 years (if yes please provide full details)

Vessel details required

Brand:

Name:

Length:

Construction:

Age:

Registration Number:

Engine's Brand:

Engine's hp:

Engine's age:

Mooring Type:

Mooring Location:

How long have you owned the vessel to be insured:

Sailing vessels

Mast construction:AluminumCarbonOther

Standing Rigging:WireRodCarbonOther

If “other” answered to the above questions please provide full details:

Age of standing rigging:

Is race cover required for your vessel over 100nm in length of race. If so please advise length required?

Vessel Sum Insured

Current Sum Insured for the vessel:

Current Insurer of the vessel:

Expiry date of the policy:

Additional Information

Please attach a maximum of 4 current colour photos of the vessel (4MB limit per photo):

Please attach copy of a survey which is less than 3 years old (4MB limit)

Getting A Quote

The following quote request form is to be completed with as much detail as possible so we can provide you with suitable options.

Insured Details

Full name/s to be shown on the quote/ policy:*

Email address:*

Mobile phone:*

Boating experience:

Have there been any claims in the past 5 years (if yes please provide full details)

Have there been any convictions in the past 5 years (if yes please provide full details)

Vessel details required

Brand:

Name:

Length:

Construction:

Age:

Registration Number:

Engine's Brand:

Engine's hp:

Engine's age:

Mooring Type:

Mooring Location:

How long have you owned the vessel to be insured:

Sailing vessels

Mast construction:AluminumCarbonOther

Standing Rigging:WireRodCarbonOther

If “other” answered to the above questions please provide full details:

Age of standing rigging:

Is race cover required for your vessel over 100nm in length of race. If so please advise length required?

Vessel Sum Insured

Current Sum Insured for the vessel:

Current Insurer of the vessel:

Expiry date of the policy:

Additional Information

Please attach a maximum of 4 current colour photos of the vessel (4MB limit per photo):

Please attach copy of a survey which is less than 3 years old (4MB limit)

Getting A Quote

The following quote request form is to be completed with as much detail as possible so we can provide you with suitable options.

Insured Details

Full name/s to be shown on the quote/ policy:*

Email address:*

Mobile phone:*

Boating experience:

Have there been any claims in the past 5 years (if yes please provide full details)

Have there been any convictions in the past 5 years (if yes please provide full details)

Vessel details required

Brand:

Name:

Length:

Construction:

Age:

Registration Number:

Engine's Brand:

Engine's hp:

Engine's age:

Mooring Type:

Mooring Location:

How long have you owned the vessel to be insured:

Sailing vessels

Mast construction:AluminumCarbonOther

Standing Rigging:WireRodCarbonOther

If “other” answered to the above questions please provide full details:

Age of standing rigging:

Is race cover required for your vessel over 100nm in length of race. If so please advise length required?

Vessel Sum Insured

Current Sum Insured for the vessel:

Current Insurer of the vessel:

Expiry date of the policy:

Additional Information

Please attach a maximum of 4 current colour photos of the vessel (4MB limit per photo):

Please attach copy of a survey which is less than 3 years old (4MB limit)

More than 35 years at the helm of leading marine insurers - Damian Pugh - 0439 771 109

More than 35 years at the helm of leading marine insurers - Damian Pugh - 0439 771 109

More than 35 years at the helm of leading marine insurers - Damian Pugh - 0439 771 109

More than 35 years at the helm of leading marine insurers - Damian Pugh - 0439 771 109

More than 35 years at the helm of leading marine insurers

Damian Pugh - 0439 771 109