Application form – dinghi insurance - Skipper-Insurance

Application form for dinghy insurance

Please note that the pricing depends on your country of residence. Please write your data and choose your country. Afterwards, you will see the amount in the “total price” box.

This insurance does only cover the risks run by a dinghy used for private purposes.

Application form dinghi insurance new

First and last name (must be the owner of the dinghi)*
Please fill-out the fields and choose the insurance you want. You build your own insurance cover. Note that every insurance product is insuring different risks. The terms and conditions can be found in downloads.
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Birthday of the insured*
DD slash MM slash YYYY
Phone*
Email address*
Enter Email Confirm Email
Unique ID
Who is the producer of the dinghi?*
What is the dinghi type?*
Please fill-out the boat type. For instance: Lagoon 52
Build year of the dinghi?*
Cruising area*
How much horse power does your dinghi have?*
Producer and type of the outboarder?*
Serial number of the outboarder*
Dinghi third party liability insurance*
The premium of the jetski third party liability insurance is depending on the horsepower of the jetski. Note: if you are using your jetski in Italy, then you need € 10.000.000,- insured sum.
Third party liability premium
Here you can see the premium according to your data, you have written in the application form.
Price:
Worth of the dinghi according invoice (new worth):*
Please write the worth of the jesski, if you want to insure also the hull insurance. Otherwise please delete the worth.
Dinghi hull insurance*
Please choose if you want to have a hull insurance or not.
Dinghi hull insurance premium
The premium of the hull insurance is depending on the worth of the jetski, written in the invoice.
Price:
Sum
Total sum of jetski hull insurance and jetski third party liability insurance.
0,00 €
Terms of Service*
I agree, that I read the terms and conditions of the insurances YACHT-POOL dinghi insurance terms and conditions and the Conditions of business and that I accept them. The insurance can´t be canceled if the insurance period already started.
With confirmation you will be forwarded to the payment screen.
- I agree to the Terms of Service
Please proceed for payment and automatical insurance confirmation after payment.
Name
This field is for validation purposes and should be left unchanged.

Application form for dinghy insurance

Application form for dinghy insurance

Application form dinghi insurance new

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