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Pleasure Craft Insurance Quote:

Instructions:
Please fill in the following information and a Qualified Johnston Meier Insurance Representative will contact you with your quote. All * fields are required.

Note: Quoted prices are only valid within the Province of British Columbia, Canada.
 
Quote Information:
Description
1. Type *   
2. Identification *   
3. Construction *   
4. Engine *   
Auxiliary
5. Year built *   
6. Fuel *   
7. Horsepower *   
8. Manufacturer *   
Outboard
9. Year built *   
10. Fuel *   
11. Horsepower *   
12. Manufacturer *   
Tender
13. Year built *   
14. Length in feet *   
15. Value *   
16. Manufacturer *   
Trailer
17. Year built *   
18. Serial number *   
19. Value *   
20. Manufacturer *   
Boating experience of operators
21. Name *   
22. Years owned *   
23. Years operated *   
24. Vessel size *   
25. Courses successfully
     completed *
     (PCOC,CPS,CYA, etc)
  
26. Will there be any operators
     under the age of 18 *
  
Electronic equipment
List all navigation equipment used specifically in the operation of the vessel
27. CB Radio *           Value:   
28. Depth sounder *           Value:   
29. VHF Radio *           Value:   
30. Loran *           Value:   
31. Radar *           Value:   
32. Other:  Value:   
Safety equipment
List all navigation equipment used specifically in the operation of the vessel
33. Number of automatic
     bilge pumps *
    
34. Number of manual
     bilge pumps *
    
35. Fume detector *   
36. Automatic fire extinguishing
     system *
    
             Qty:    Type:

             Date last tested:
37. List other safety features
Location
38. Where is the vessel moored *     
39. Where is the vessel laid up *   
Type:   
40. Primary areas of operation *   
Insurance Valuation
Include hull, machinery and attached equipment
41. Present Insurer *   
Policy number:   
42. Current estimated new
     replacement value *
  
43. Present market value *   
44. Purchase price *   
45. Purchase date *   
   
Contact Information:
Name *   
Address
City *   
Postal code
E-Mail address *      
Tel *   
Fax
  Additional information may be required in order to verify rating.
One of our qualified representatives will contact you to confirm the information provided.
 
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