What type of insurance are you interested in?*Type of InsuranceCottage InsuranceBoat InsuranceClassic Car InsuranceMotorcycle InsuranceAuto InsuranceHome InsuranceHome or Cottage Rental InsuranceFarm InsuranceCommercial InsurancePostal Code* Name* First Last Address Street Address City Province Email Address* Phone*Drivers Licence (Optional) Date of BirthYear, Make and Model of Boat?Length of BoatTop speed of BoatMotor HorsepowerDo you have a trailer for the boat?*YesNoValue of BoatValue of Boat and TrailerDo you currently have boat insurance?YesNoIf yes, who is the current insurance company?current insurance companyDo you use the boat for any business activities including renting the boat?YesNoDo you take your boat out of Canada?YesNoWhere is boat stored for the winter?Do you have power squadron Certification?YesNoNumber of years you have personally owned a boat in Canada?What was the length (in feet) of the largest boat you have owned?Number of years with experience in Canadian waters (Using a boat owned by you, or owned by a family/friends, rentals/charters)?Did you purchase your boat from Buckeye Marine? *Discounts may applyNoYes
