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Current Boat Insurance

Yes  No

If Yes, Current Carrier

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Operator Information
Name Age Gender Martial
Status
Boating Experience Tickets
past 3yrs
Accidents
past 3 yrs
Major Tickets
past 3yrs
Have you taken any Safety Courses?  Member of a boating Association/Marina membership? Alarm System?  Where is Watercraft Stored

 

Watercraft Information
Year Type of Boat Watercraft Length Horsepower Type of Drive

 

Coverage's 
Current Value Type or Coverage Additional Accessory Coverage
Boat  Motor  Trailer 

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