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Boat Insurance
Currently available only in Ontario

Please fill all the required fields marked ( * )

Tell us about yourself
What is your first name? *  
What is your last name? *  
What is your province?
What is your home phone? *  
What is your work phone?
What is your E-Mail?    
Please re-enter your E-Mail:    
How old are you?  

Who Operates your boat?
Name Age Power Squadron?
Operator# 1 *   *  
Operator# 2
Operator# 3

Tell us about your boat
Currently Insured? 
Liability?
Deductible?
Boat type?   *  
Use? *  
Where is vessel stored?
Waters navigated?
Racing?

About your boat's Hull
Make and model? *  
Hull type? *  
Length? *  
Estimated market value? *  
Year Built? *
Maximum speed ? *  

About your boat's Engine
Make of engine? *  
Year? *  
Type of engine: *  
Fuel type? *  
Value of outboard motor: *  
Horse power? *  

Second Engine (If available)
Make of engine?
Year?
Type of engine:
Fuel type?
Value of outboard motor:
Horse power?

Trailer Information
Do you have a trailer?
Make of trailer?         
Value of trailer?

Claims and Convictions
Boating accident in last 5 years?
Boat claim for any damage in last 5 years?
Any at fault auto accidents or any driver convictions for any listed driver in last 5 years?

Please let us know your current rate. This will not affect your quote, it just lets us know if we've saved you money.
Your annual insurance rate:
Your current insurance company:
How did you find out about us?

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