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Quotation Request Form
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Please complete and submit this form for an
Insurance quotation from Navigators and General
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INTRODUCER
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PERSONAL DETAILS
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Name
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Daytime tel. no.
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Address
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Postcode
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E-mail address
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CRAFT DETAILS
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Type/class of craft
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Name of Craft
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Year of Build
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Length of Craft
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Beam
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Material of Hull
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Total value to be insured ( £)
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IF SAILING CRAFT, WILL SHE BE USED FOR RACING?
IF YES, PLEASE STATE TYPE/EVENTS BELOW.
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YES
NO
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Replacement Value of Mast, Sails & Rigging ( £ )
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ENGINE DETAILS
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Make
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Fuel
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HP
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Max. speed
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MOORING DETAILS
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Mooring location
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Type of mooring
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Other:
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Is the craft laid up during the winter?
if so, please state location and duration below:-
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YES
NO
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Which months laid up
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Location
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Experience/qualifications?
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Please give details of any accidents in the past 5 years:
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The quote will be based on private use only. If other, please give full details.
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Cruising limits required?
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Other:
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CURRENT INSURANCE DETAILS
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Name of Current Insurer
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Renewal Date
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Current No Claims Bonus
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Click here to send your quotation request.
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or contact our New Business Department on the address at the bottom of this page.
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Methods of Payment
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Should you choose a policy with Navigators & General, here are the various methods of payment.
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By cheque, made payable to Navigators & General Insurance Company Limited.
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By credit card (Access, Visa,
Mastercard, Switch).
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By 'Esiplan' direct debit instalment facility, spreading your payments over a full year.
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Through your preferred broker or agent.
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Navigators & General,
PO Box 848,
Brighton
BN1 4PR
Quoteline: +44 (0) 01273 863420
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