M&M Insurance

Boat Insurance Quote

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First Name

Last Name

Phone

Address

City

State

Zip

Navigation Area (include state)

Inland?

Coastal?

Summer Mooring

Winter Mooring

Lay-Up Dates (Yachts 26 ft. and above)

From

Boat(s)

Add as many boats that apply.

Boat 1

Year

Manufacturer

Model

Length

HSP

Speed

+ Add Boat

Outboard Motor Information Only

Add outboard motor informtion if applicable.

Year

Manufacturer

Total Horsepower

Twin?

Safety Equipment

GPS

Automatic CO2

Burglar Alarm

Radar

Coverages

Add your coverage information

Boat/Yacht Value

Liability

Outboard Motor Value

Medical Payments

Trailer Value ($100 Deductible)

Commerical Towing

Actual Cash Value Endt

Uninsured Boater (INCLUDED-same limit as Liability)

Fishing Equipment ($250 Deductible)

Personal Property

Deductible

Any Youthful Principal Operators?

Three Years Boating Experience?

Safety Course (USCG, USPS)

Prior Boating Losses (If Yes, List Details Below)

Accidents/Convictions on MVR (If Yes, List Details Below)

Supporting Business with Travelers

Multi-ownership (other than spouse)

Comments

Safety discounts (Motorcycle Safety Assoc. or Foundation Rider Course):

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