Boat Insurance Quote

Max Insurances

 

D1, 27-29 William Pickering Drive,
Rosedale, 0632

 

Phone  0508 629 5626

 

Tel: 09 913 3011
Fax: 09 913 3012

Tell us a bit about your boat

    Your Name

    Date of Birth

    Your Address

    Contact Number

    Your Email

    Do you have existing boat insurance

    YesNo

    If you have, could you tell us the insurance company name and your customer & policy no.

    Have you had any boat related claims in the past 2 years

    YesNo

    Type of Boat

    Will this boat be raced at anytime

    YesNo

    Make

    Model

    Boat Name

    Year of Manufacture

    Hull, Fixtures & Fittings Value $

    Boats Gear $

    Trailer Value

    YesNo

    Trailer Registration

    How will the boat be stored when not in use

    If your answer is 'other' to previous question, please tell us details

    Is the boat on finance or lease

    YesNo

    If your answer is 'yes' to previous question, what's the company

    Any other relevant information that may affect the insurance cover

    Declaration: I/WE HEREBY DECLARE AND WARRANT that the answers given above are in every respect true and correct, and that I/We have not withheld any information within My/Our knowledge likely to affect the decision of the Company as to My/Our eligibility for insurance. This request and declaration shall be the basis of the quote request.

    YesNo