Admiral Marine quote - Admiral Marine

Step 1 of 6

Proposer and Owner

Title of proposer*

Forename*

Last Name*

Date of Birth*

Title of proposer (other)*

Name of registered owner (if different from proposer)

Nationality of registered owner*

Address of registered owner*

Postcode of registered owner*

Email*

Phone Number*

Is proposer or named registered owner the sole owner?*

Yes

Number of additional owners*

Additional Owner 1

Additional Owner 1 Title

Additional Owner 1 Forename

Additional Owner 1 Last Name

Additional Owner 1 Date of Birth

Additional Owner 2

Additional Owner 2 Title

Additional Owner 2 Forename

Additional Owner 2 Last Name

Additional Owner 2 Date of Birth

Additional Owner 3

Additional Owner 3 Title

Additional Owner 3 Forename

Additional Owner 3 Last Name

Additional Owner 3 Date of Birth

Please note we can only provide cover for up to 3 additional owners

Use

Will the vessel be used for private pleasure purposes only?*

Yes

Please give details

Do you require cover for transporting the vessel by road?*

Yes

Cover for road transport of vessels with an overall length less than 31 feet is automatically included. If the vessel's length is more than 31 feet, please advise start and finish points of road transit and the name of the haulage company to be used

Is the vessel's overall length is more than 31 feet, will it be sailed or motored single-handed: on an uninterrupted passage exceeding 100 nautical miles; and/or between the hours of sunset and sunrise (local time)?*

Yes

n/a

Please provide details of intended single-handed use

What cruising area do you require for the first 12-month period of insurance?*

Please detail as completely as possible the cruising area required

Where will the vessel be based whilst in use (if no permanent base please state "cruising")*

Is the vessel's seasonal base*

Please provide full details of vessel's seasonal mooring

Is the vessel laid up ashore out of season?*

Yes

Please state location and dates of lay-up

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