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Small Boat Insurance Quote
We provide all types of marine insurance. We are only providing coverage for Florida based boats

If you would like to receive a quote for your small boat insurance, please fill out the entire form and submit.

This form is for vessels under 26'. If your boat is larger, please use the Yacht Quote form.
Work Phone:    	
Home Phone:    	

Comments and Questions:

When was the boat purchased?:

Name of insurance company,
if currently insured:  

Expiration date of insurance policy,
if currently insured:  

Have you had any prior boating losses or claims?
Yes  No
If "Yes", please explain:

Boating Ownership Details: 
Please let us know the make, model and size of the 
boats that you have owned. Indicate the years
that you owned them.

Birth Date of Principal Operator:
How Many Years Boating Experience?: 

Boating Experience Details: 
Please let us know the make, model and size
of the boats that you have experience operating.  
Indicate the years that you operated them.

Has the Principal Operator been cited for
any traffic violations in the last 4 years?
Yes  No
If "Yes", please explain:

Your Small Boat Information
Vessel Make:  	  	
Vessel Model:  	  	
Year Built:  	  	
Length (Feet): 	  	 
Engine Make:  	  	
# of Engines:  	  	
HorsePower (each):		
Is the boat on a trailer?  Yes  No

Navigation Area: (Check all that apply)
Fresh Water       Salt Water
Bahamas           Other

Summer Mooring Location: 
Winter Mooring Location: 
Lay-Up Period: (If Any... Enter the Dates of Lay-up)

Total Value (Boat/Motors/Trailer):  


Liability Limit 

You may now:

American Marine Insurance Group 
P.O.Box 360875 
Melbourne, Florida  32936 
Phone:  321-254-3639 
Contact Form

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