Quotes

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Are you over-paying for insurance?

 
Take 3-5 minutes and fill out this form. It doesn’t cost you anything and it doesn’t show as a hit against your credit!

It’s not uncommon for us to be able to save customers hundreds of dollars per year!

Along with this form, please attach any current declarations pages you have from your current provider. This will allow us to provide you with more accurate quotes.

Upload dec pages below:


Boat Type
speed boatfishing boatpontoon boatother

Hull Type
fiberglassaluminumother

Boat Year

Length of Boat

Motor Year

Coverage Options (Liability to Others)
Bodily Injury(per person) / Bodily Injury (per accident) / Property Damage (per accident)

Medical Payments (for you and passengers)

Physical Damage to Boat
Comprehensive:______ Collision:______

On-Water Towing?
yesno

Do you want to insure a trailer?
YesNo

Trailer Year

Boat Storage Zip Code

Remarks (if any)

Applicant’s Gender
malefemale

Type of Life Insurance
term lifewhole life

Select Term Length

Amount of Insurance Requested

Applicant’s Height

Applicant’s Weight

List any medical conditions, family history, or medications currently taken.

[recaptcha]

Do you have motorcycle endorsement on license?
yesno

Medical Payments (for you and passengers)

Physical Damage to Motorcycle
Comprehensive:______ Collision:_______

Roadside/Trip Interruption?
yesno

Remarks (if any):