Sailing Dinghy Quotation Request

(Please complete as fully as possible) - Questions marked with an asterisk (*) are a mandatory entry

guyslaserA dinghy 3rivers start Davids punt racing davids punt cover

About You

Title Mr Mrs Ms Miss Dr Lord Lady Sir

Forename

Surname

Address Line 1

Address Line 2

Town/City

County

Postcode

Email Address*

Telephone

Date of Birth

Occupation

About Your Dinghy

Type of Dinghy*

If Other - Please state type

Year of Build

Length (Numeric Value Only)

Length Type Feet Metres

Hull Material

Purchase Price £

Total Sum Insured £

Mooring Location

Is the Dinghy laid up in winter Yes No

Years experience with this type of craft

Details of claims/accidents (within last 5 years)

Private & Pleasure use only? Yes No

Racing Cover required Yes No

Cruising Range

Name of previous or current insurer

Renewal Date

Years No Claims Bonus 0 1 2 3 4 5

Where did you hear about us?

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Our team will be in touch as soon as possible.

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Company is registered in England and Wales No. 4711155
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