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(02) 9525 9311
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Personal Watercraft Quick Quote Form
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P
02 9525 9311
M
0424 266 610
Cover Type:
Comprehensive
Liability Only
8682
General Information
Insured First Name:
*
Insured Surname:
*
Insured Contact No:
*
Insured Email Address:
*
Are one of the listed approved security devices utilised whilst your PWC is stored, in transit, or not in use?
Hitch Helmet
Klamp It
Marine Guard
Trailer Cop / Safety Lock
Have you had at least 12 months continuous insurance on your PWC with no prior claims or losses?
Yes
No
9173
0
Storage Location
State:
Please select...
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode:
Is your PWC stored on a pontoon?
Yes
No
Would you like to extend the policy to include Liability Insurance in relation to the pontoon, if not insured elsewhere?
Yes
No
Liability to Third Parties
How much cover do you want for your liability to third parties?
$5,000,000
$10,000,000
$20,000,000
8679
Do you want to include skiers liability / aquaplaning risks?
Yes
No
Do you want cover for racing risks?
Current AJSBA membership required
Yes
No
Details of the PWC & Trailer
Note:
Cover is limited to market value or sum insured, whichever is the lesser
We will not insure any PWC (including those that have been Imported) for more than your purchase price.
Three Year New for Old Replacement?
Yes
No
PWC Proposed Insured Value:
*
Trailer Proposed Insured Value:
Pontoon Proposed Insured Value:
Equipment & Accessories Proposed Insured Value:
Voucher Code:
* Indicates a mandatory field.
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