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Applicant Information First Name * Last Name * Preferred Method of Contact Email Phone Text Phone * Email * Information Vessel Vessel Year * Vessel Make * Vessel Model * Registration (if you have it) Purchase price of Vessel excluding Outboard Motors * Motor Year * Type of Motor - In/Outboard * Model Purchase price of Motor if outboard only Trailer Trailer Year * Trailer Make * Trailer Model Purchase price of Trailer * Additional Info Length of boat * Horsepower of motor(s) and maximum speed. * Location or Lakes boat will be used Experience and age of all operators * Current insurer and policy # if available Claims made on any boat in the past 5 years, if None state that * Extra Information
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