Watercraft Insurance Quote | Tanner Insurance Agency

Address

319 Madison Ave S, Douglas, Georgia 31533, United States

Get in touch

(781) 899-9060

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WATERCRAFT WORKSHEET

Contact Us

Name:

DOB:

DL#:

# YRS Operating:

Spouse:

Spouse DOB:

Spouse DL#:

# YRS Operating:

Mailing Address:

Mooring Address:

Phone:

Email:

Field label

Rent

Own Home

(if so) who is insurance with:

Prior carrier:

Eff/Exp date:

Liability coverage:

UB:

Medical:

Free Text

VEHICLES

1.) Year:

Make:

Model:

HULL:

YRS Owned:

YRS Purchased:

Hull Material:

Length:

Stored In:

Number of Motors:

Inboard / Outboard:

Make/Model:

Horsepower:

Max Speed:

Insure Trailer:

Yes

No

Trailer Year:

Trailer Make/Model:

Trailer Value:

Registered to:

Lien:

Comprehensive:

Collision:

Towing:

Value:

Personal / Carried Contents:

2.) Year:

Make:

Model:

HULL:

YRS Owned:

YRS Purchased:

HULL Material:

Length:

Stored In:

Number of Motors:

Inboard / Outboard:

Make/Model:

Horsepower:

Max Speed:

Insure Trailer:

Yes

No

Trailer Year:

Trailer Make/Model:

Trailer Value:

Registered to:

Lien:

Comprehensive:

Collision:

Towing:

Value:

Personal / Carried Contents:

Free Text

Additional Drivers

Name:

DOB:

DL:

Relation:

Discounts?

Discounts?

Name:

DOB:

DL:

Relation:

Discounts?

Discounts?

Notes:

Pearson: (912) 422-3272

Douglas: (912) 384-0114

Email: info@tanner-ins.com

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