REI - Boat

Boat Quotation Request

Text in Red = Required Fields

Owner Details

First Name:
Surname:
Phone:		Email:

Risk Details

Is the Boat moored?			Yes No
Please advise the location where your boat is moored
Suburb:			State:		Postcode:
Hull Details
	Make
	Type
	Year of Manufacture		(eg.yyyy)
	Construction
	Length (in metres)
	Maximum Speed (in knots)
Motor Details
	Make
	Year of Manufacture		(eg.yyyy)
	Engine Size
	Fuel Type
	Inboard/Outboard
Sails, Masts, Spars and Rigging Details
	What are the sails made of?
	Total Value of sails, masts, spars and running rigging?		$
Tralier Details
	Value of Trailer		$

Cover Required

What is the Total Sum Insured for your Boat (including Hull, Motor, accessories and Trailer)?	$
What is your current Boat Insurance No Claim Bonus?
Do you require cover for Water Skiers Risk?	Yes No
Is cover for racing required? (sail boats only)	Yes No

Real Estate Agency Details

Name of Real Estate Agency that has referred you to Aon Personal Insurance
Situation Address of Real Estate Agency
Contact Name
Phone

Addtional Comments

General Comments (Incl. relevant information)