Sailboard Enquiry Form...
You have a duty to provide complete and accurate information. Failure to disclose material information may invalidate cover and could mean part, or all, of a claim may not be paid. If in doubt disclose it anyway.
NOTE: * identifies a mandatory question, which must be answered to allow your enquiry to proceed
Personal details:
Are you a permanent UK resident?
 
Type of Cover Required
FULL COVER
with a sum to be insured to
or THIRD PARTY only
      Full name of Owner
* 
Address
* 



Post Code
* 
Day Time Phone Number
* 
e-mail

Occupation

*
Age
* 
 Additional Details:
Have you or any person you will permit to use your sailboards....

Been involved in sailboarding in a professional capacity / sponsored or derive any income from the sport?

  

Previously been insured for sailboarding?

  
Suffered any accident or loss in the last 5 years in connection with any sailboard or dingy?
  
Had any insurer refuse to insure you, impose special terms or request extra precautions?
  
Ever been charged with or convicted for any offence of dishonesty of any kind - eg theft / arson / robbery?
  

 

Please supply full details if you have answered 'yes' to any of the above.

  

 

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Curtis Marine Insurance is the trading name of Curtis Marine Insurance Brokers Limited, which is Authorised and regulated by the Financial Services Authority. Registered in England & Wales.
Registered Number: 6465804. Registered Office: Plymouth Marine Centre, Pomphlett Quay, Billacombe Road, Plymouth, PL9 7HP.