quote-for-jetski

1. About You

Have you been insured with Mariner before? Yes No

First Name*

Last Name*

Email Address*

Phone Number*

Number of years boating?

How many boat insurance claims or accidents have you had?

Who is your current boat insurer (if applicable)?

If you hold boating qualifications, please note your highest one here.

Have you ever been accused of any criminal activity ?

Are you looking to buy this boat or are you the current owner?

Jetski Make/Model

Year built

For how much ($NZD) are you looking to insure for?

I'm proposing to keep the boat:

If there any other comments you would like to add for our consideration please do so here.

Security Check: