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    Your Name (First Name and Last Name)

    Email

    Phone

    Residential Address

    Boat Brand

    Boat Model

    Boat Length

    Boat Construction Material (Fibreglass, Timber, Alloy etc...)

    Boat VIN (if known)

    Year Built

    Propulsion (Sail, Motor-sail, Inboard, Outboard etc... (nominate kW or HP) )

    Boat Kept At (e.g. on trailer at owner's residence, mooring at marina, swing mooring, hardstand at boat club etc)

    Sum Insured ($ amount)

    Current Insurer

    Policy Renewal Date / Expiry Date

    Have you ever had a claim? (Detail)

    Contact me via ... (Email, Mobile Phone, Home Phone etc... )

      Your Name (First Name and Last Name)

      Email

      Phone

      Residential Address

      Boat Brand

      Boat Model

      Boat Length

      Boat Construction Material (Fibreglass, Timber, Alloy etc...)

      Boat VIN (if known)

      Year Built

      Propulsion (Sail, Motor-sail, Inboard, Outboard etc... (nominate kW or HP) )

      Boat Kept At (e.g. on trailer at owner's residence, mooring at marina, swing mooring, hardstand at boat club etc)

      Sum Insured ($ amount)

      Current Insurer

      Policy Renewal Date / Expiry Date

      Have you ever had a claim? (Detail)

      Contact me via ... (Email, Mobile Phone, Home Phone etc... )

        Your Name (First Name and Last Name)

        Email

        Phone

        Residential Address

        Boat Brand

        Boat Model

        Boat Length

        Boat Construction Material (Fibreglass, Timber, Alloy etc...)

        Boat VIN (if known)

        Year Built

        Propulsion (Sail, Motor-sail, Inboard, Outboard etc... (nominate kW or HP) )

        Boat Kept At (e.g. on trailer at owner's residence, mooring at marina, swing mooring, hardstand at boat club etc)

        Sum Insured ($ amount)

        Current Insurer

        Policy Renewal Date / Expiry Date

        Have you ever had a claim? (Detail)

        Contact me via ... (Email, Mobile Phone, Home Phone etc... )

          Your Name (First Name and Last Name)

          Email

          Phone

          Residential Address

          Boat Brand

          Boat Model

          Boat Length

          Boat Construction Material (Fibreglass, Timber, Alloy etc...)

          Boat VIN (if known)

          Year Built

          Propulsion (Sail, Motor-sail, Inboard, Outboard etc... (nominate kW or HP) )

          Boat Kept At (e.g. on trailer at owner's residence, mooring at marina, swing mooring, hardstand at boat club etc)

          Sum Insured ($ amount)

          Current Insurer

          Policy Renewal Date / Expiry Date

          Have you ever had a claim? (Detail)

          Contact me via ... (Email, Mobile Phone, Home Phone etc... )

            Your Name (First Name and Last Name)

            Email

            Phone

            Residential Address

            Boat Brand

            Boat Model

            Boat Length

            Boat Construction Material (Fibreglass, Timber, Alloy etc...)

            Boat VIN (if known)

            Year Built

            Propulsion (Sail, Motor-sail, Inboard, Outboard etc... (nominate kW or HP) )

            Boat Kept At (e.g. on trailer at owner's residence, mooring at marina, swing mooring, hardstand at boat club etc)

            Sum Insured ($ amount)

            Current Insurer

            Policy Renewal Date / Expiry Date

            Have you ever had a claim? (Detail)

            Contact me via ... (Email, Mobile Phone, Home Phone etc... )

            Image

            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