Abbeygate Marine Insurance Quotation Request
Details of Proposer
Name			Date of Birth
Address	(city) (province) (postcode)		Telephone
			Nationality
			NIE/Passport
			Email
			Occupation
			Nature of Business
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Insurance Details
Type of Craft	*Please Select* Jet Ski Sailing Yacht Motor Cruiser Open Day Sailing Boat Sportcruiser Skiboat RIB Runabout		Year Built
Where Registered	Spain Portugal Cyprus UK		Vessel Make and Model
Hull Material	*Please Select* GRP Wood Steel Aluminium Other		Engine Make
In/OutBoard	Inboard Outboard		Year of Make
HP			CC
Max Speed	(Unit)KnotsMPH		Length of vessel	(M)
Sums Insured
Please select currency			Euros GBP CYP Dollars
Hull, Machinery, Gear, and Equipment
Outboard 1
Outboard 2
Tender/Life Raft
Trailer
Personal Effects
Special Equipment
TOTAL
Other Information
Use of Vessel			*Please Select* Private Pleasure Skipper / Owner Charter Houseboat Residential Other
Cruising Range			*Please Select* Portugese Waters Spanish Waters Med Waters not east of 5 degrees Other
(Cruising Range) - if 'other' please state where
Water Sking Risks			Yes No
Towing Inflatable Toys			Yes No
Racing Risks			Yes No
Type of Mooring			*Please Select* Canal Bank Ashore Marina Harbour Swinging Other
(Mooring) - if 'other' please state where
Location of Mooring
Location When Ashore
Months in Commission
How long have you had a Marine Policy			4 or More Years Nil 1 Years 2 Years 3 Years
Years Claim Free			4 or More Years Nil 1 Years 2 Years 3 Years
Price Purchased
Does This Vessel Have A Current Survey?
How Many Years Experience With This Type Of Craft/Boat?			4 or More Years Nil 1 Years 2 Years 3 Years
Please confirm what Qualifications you have for skippering the Vessel
Name of Last Insurer
What is your current Premium?
Charged With Any Convictions			Yes No
Declined Insurance			Yes No
Date Purchased And Price Paid
Any Other Information
Click Here for Marine Insurance in Spain Summary of Standard Cover

Abbeygate is a trading name of Wyedean Insurance Services Limited which is authorised and regulated by the Financial Conduct Authority and is entered on the Financial Services Register (http://www.fca.org.uk/register) under reference: 305487
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