Small Boat and Yacht Insurance
Online Quote

CONTACT INFORMATION
Surname: * First Name:
Address:
Telephone:
E-mail: *
City:
Province: *    Postal Code:
BOAT  INFORMATION
Type of Vessel Sailboat       High Performance     Trawler   Cruiser
Houseboat   Ski-boat                    Jet Boat PWC
Type of Engine O/B        I/O     I/B  
Does Vessel Have Sleeping Quarters       Galley           Head      Radar
Depth Finder               Compass     Propane  S/S Radio
Construction: Fibreglass     Wood        Aluminum
Year:
Make: Model:
Horsepower Length:
Maximum Speed:    
Market Value: $
Trailer Value: $
PRINCIPAL DRIVER
Age:  Years of Experience:
OCCASIONAL DRIVER
Age: Years of Experience:
HISTORY
Years as Boat Owner:
Boating Experience:
Boating Courses:
INSURANCE
Proof of insurance during the past 6 years? Yes   No
Details of any claims:
Please tell us how you found our site: Fairlie Insurance Agency
CAUT
A search engine
Referred by a friend
Other

Instar Insurance Brokers
2435 Holly Lane, Suite 200
Ottawa, ON  K1V 7P2
Tel. 613-228-1600
Fax: 613-232-6486
Email: info@instar.on.ca