Piranha Insurance Brokers Queensland - Sail Craft Insurance Quote

Personal Details
Your Name
Date of Birth
Address
Contact Phone	Fax
Mobile Phone	Email
Vessel Details
Type Of Vessel	Trailer Sailer Ketch Dinghy Sloop Catamaran
	Trimaran Yacht Other
How long have you owned this vessel? Yrs
How many years sailing experience have you had? Yrs
Hull Construction	Aluminium Steel Timber Fibreglass
	Other
Vessel Make And Model	Hull Length
Name Or Rego No	Year Built
Auxillary Engine	Outboard Inboard Sterndrive
Engine Make / Brand	Horsepower Year Built
Type Of Fuel	Diesel Petrol Aviation Other
Is Vessel Under Finance	No If Yes, Type Of Finance
Is vessel financed in excess of 80% of it's value? No Yes
Vessel Is Normally	Moored On A Trailer
Mooring Location
If trailered, is vessel usually kept within a fully fenced property or lock-up garage?		Yes No
If yes, where normally kept?
Will anyone under the age of 25 be allowed to sail the vessel? No Yes
If yes, provide details
Will you be participating in organised racing? No Yes
If yes, provide details
Do you require racing risk cover extension? No Yes
	Local Club Races Only
	Ocean And Long Distance Races
Sum which vessel is to be insured

Accessories and Equiptment List and Sum Insured for Each Item

Claims and Conviction Details

Thank you for completing our Sail Craft Insurance Online Quotation Form. We will assess your details and a member of our staff will be in contact with you shortly.

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