Electric Boat Association Quote | Porthcawl Insurance

Please take some time to fill out the online quote form below. Once we have received your details you will get an e-mail acknowledgment of your submission and your personal quote will be sent to you by email or post (if required) within 24-48 hours, for commercial insurance quotations this can take between 24-48 hours during busy periods, if your requirements are urgent please contact us on 01656 784866 (during office hours).

* Indicates Required Field

Name

Title *

First Name(s) *

Surname *

Date Of Birth *

Contact Details

Daytime Phone Number *

Home Phone Number

Mobile Phone Number

Fax Number

Email Address *

Your 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 *

Hull Material *

Specify Hull Material *

Length *

Beam (Width) *

Max Speed (Knots) *

Engine Type *

Horsepower per engine (BHP)

Engine Make

Engine Age (Years)

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 (£)

Insurance Required Details

Cover Required *

Water Skiing Liability *

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

Total Value To Be Insured

Date Vessel Purchased *

Actual Price Paid For Vessel * £

Total Value to be insured (Please include boat, trailer and all equipment) * £

Please state reason if Total value to be insured is greater than Price Paid

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? *

By submitting this web quote form to Porthcawl Insurance Consultants (UK) Ltd you are allowing us to use your information to provide you with a quotation only, we will not use the information for marketing purposes in the future unless you give us permission to do so. Quotes are sent via post, text, telephone or e-mailed. NO information is provided to any other third party companies.

Electric Boat Online Quotation