Welcome to Novamar’s Yacht quote form

Please introduce yourself

Name

Last Name

Hi [[first_name]]!

Nice to meet you

Tell us about your boat:

Boat name

Manufacturer

Length

Year built

Hull type

Hull material

Please provide more information

Characteristics of the engine(s):

Power type

Horsepower per engine

Max vessel speed (knots)

Number of engines

Engine manufacturer

Engine year

Fuel

Let's continue with more details

Purchase and usage:

Boat purchase date

Boat purchase price

Boat usage

Liveaboard?

Is your boat currently insured?

Great [[first_name]]!

We are halfway there

Coverages Limits:

Hull coverage limit

Hull deductible

Liability coverage limit

Medical payments limit

Personal effects limit

Emergency towing limit

Trailer value (optional)

Paid crew (if any)

We are building a tailor made quote for you,

please help us with more info

Boating Experience/Boat Location:

Boating Course:

PS CGA State Captain License U.S. Sailing Course ASA Course Other None

Years of boat ownership

Length/Manufacturer of boats owned

Date of most recent vessel survey

Prior Boating Losses? (Y/N)

Mooring/Storage country

Mooring/Storage state

Mooring/Storage zip code

Tell us where you use your vessel:

Navigations Limits

[[first_name]], tell us more about you

Date of birth

Occupation

List additional owners (if any)

Vessel ownership (Personal/Company)

Email address

Primary phone

Almost there, [[first_name]]

Street Address

City

Country

State

Zip code

Final step!

How did you hear about us?

Desired coverage effective date

Comments