Porthcawl Insurance | Broker Quote

Please take some time to fill out the online quote form below. Once we have received your details your personal quote will be sent to you by post or email within 24 hours.

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Broker Details

Broker Name *

Broker Company *

Broker Email *

Cover Required From *

Name

Title *

First Name(s) *

Surname *

Date Of Birth *

Brokers Address

Address *

Postcode *

Country *

Vessel Details

Vessel Name

Vessel Use *

Type Of Vessel *

Build Year *

Last survey date, if older than 20 years

Vessel Make *

Vessel Model *

Length *

Beam (Width) *

Max Speed (Knots) *

Engine Type *

Horsepower per engine (BHP)

Engine Make

Mooring Type

Moored at or Kept Location

Lay Up Dates

From

Lay Up Location (If Applicable)

Cruising range *

Owner Record

Years Boating Experience *

Owner Occupation

Boating Qualifications

Years No Claim Bonus *

No claims discount must have been earnt in the last 2 years

Please detail any losses claims in the last five years

Current Insurance Details

Current Insurance Company

If other, please specify

Renewal Date

Renewal Premium (ï¿½)

Insurance Required Details

Cover Required *

Water Skiing Liability *

Water Toys Liability (e.g. bananas/biscuits) *

Total Value To Be Insured

(Please include boat, trailer and all equipment) * ï¿½

When Would You Want Cover To Start?

Cover Start Date *

How would you like to receive your quote? *

Other Details

Please state any other information relevant to this application

How you heared about us? *

Broker Quote