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Insurance Quotation - PWC
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> Insurance Quotation - PWC
Personal Details
Name:
Address:
Suburb:
State:
Post Code:
Phone:
E-mail:
Please check, as your Quote will be emailed to this address.
Type of Cover
Type of Cover:
Comprehensive
Third Party Only
Other
Other:
Insured Details
Has the insured(s)
Ever had any insurance refused or cancelled?
Yes
No
Had any boat or any theft claims in the last five years?
Yes
No
Been convicted of any offence in the last five years?
Yes
No
Will the insured(s)
Boat be used for any hire, charter or reward of any description?
Yes
No
Jet Ski Details
Hull
Boat Make:
Year of Construction:
Length (ft/mtr):
Construction Material:
Max Speed (Knots or Km/h):
Motor/s
Make of Motor:
Year:
Power/HP:
Type of Motor:
Inboard
Outboard
Stern Drive
Jet
Other
Type of Fuel:
Petrol
Diesel
Gas
Other
Legal Liability
Select Liability Required:
$ 5,000,000
$10,000,000
Skiers Liability Cover
Do you require skiers liability?
Yes
No
Boat Value
Total Sum Insured:
Experience details
Insured Age
Boating Experience
1st Year
2 to 5
6 to 10
11 to 15
> 15
Boating Courses?
Yes
No
Storage Details
How is your jet ski stored when not in use?
Trailer - Parked On Street
Trailer - Parked Off Street
Marine Berth
Private Residence
Bouy/Swing
Cradle/Hard Stand
Pontoon
Builders Yard
Marina Designated
Other
trailer Commercial Premises
Anchor
Stack
Air dock
Marina Designated
Pile/Jetty
Storage Location
Address of where your jet ski is kept:
Lay Up
(optional)
Number of months lay up required:
0
1
2
3
4
5
6
7
8
9
10
11
12
Completion
When you have completed all required fields, please click on the
Submit for Quotation
button below. Upon receiving your submission, we will taylor a quote to suit your needs, which we will forward to you via email.