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Learn about Home Insurance
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>
Learn about Auto Insurance
Learn about Classic Car Insurance
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Life
>
Learn about Life Insurance
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Medical
>
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Learn about Long Term Care Insurance
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>
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Boatowners
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Complete the details below to get your free Boatowners Insurance Quote
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Contact Person Name
*
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Select Gender
*
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Address
*
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Please enter the mailing address for your group.
Occupation
*
Date of Birth
*
Driver's License Number
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Phone Number
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If Referred/Other, please add detail:
*
INDICATE WHICH BOAT SAFETY NAVIGATION COURSE(S) HAVE BEEN COMPLETED
*
CHAPMAN BOATING SCHOOL
MARINE PILOT’S LICENSE
COMMERCIAL AVIATION LICENSE
STATE ADMINISTERED SAFETY COURSE
MERCHANT MARINE LICENSE
POWER SQUADRON COURSE
COAST GUARD AUXILIARY
COAST GUARD COURSE
STATE & FEDERAL ACCREDITED MARITIME ACADEMY
CAPTAIN'S LICENSE
Information About Your Boat
Type of Boat
*
Bass
Cruiser
Fishing
Water Ski
Sail
Pontoon
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Other
Year
*
Make
*
Model
*
Hull Length
*
Type of Power
*
Inboard/Outboard
Sail
Outboard
Inboard
Hull Material
*
Wood
Aluminum
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Hull ID
*
Date of Purchase
*
Purchase Price
*
Engine Manufacturer and Model with Serial Number
*
Engine Horsepower
*
Maximum Speed
*
Fuel Type
*
Electric
Diesal
Gasoline
Approximate Value
*
Wil it be trailered/stored/moored? Outline which and where with zip code.
*
Lengths and Manufacturers of Vessels previously owned or operated
*
Years experience owning boats
*
P&I / Uninsured Boater Liability Limit
*
Medical Payments Coverage Limit
*
Personal Property Coverage Limit
*
Have you been involved in a Loss in the last 10 years (insured or not)?
*
Yes
No
Will you need financing?
*
Yes
No
Will you be paying in full?
*
Yes
No
If trailer coverage is desired, please outline value of trailer, year of trailer, and serial number of trailer
*
Please list any additional equipment (GPS, Radar, Loran)
*
Please upload a copy of your current policy or survey of watercraft if applicable or email to INFO@HRSINSURANCEGROUP.COM
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