If you would ike a quote on boat insurance from an agent who specializes in marine insurance from highly rated underwriters, copy the form below into a e-mail message, fill it out and then send it to me Susan'at'imis.pro (replace the 'at' with the @ symbol). Or if you would like to download the form as an attachment, click here and then e-mail or fax it. Thanks, Susan International Marine Insurance Services fax 443-926-0580 ----------------------------------------------------------------- ==INTERNATIONAL MARINE INSURANCE SERVICES== ===VESSEL INSURANCE QUOTE REQUEST FORM==== OWNERSHIP:  Owner(s)-  Street address-  City / State / ZIP-  Home phone-                                  Work phone-  E-Mail address-  Lienholder? - OPERATOR(S):  Name-  Date of Birth-          Occupation-  Years of boating experience-                 Size(s) & Type(s) of Boat(s) operated-  Years of boat ownership (any boat)-          Size(s) & Type(s) of Boat(s) owned (& for how long)-  Boating courses completed-  License held (if any)-  Current insurance company-                   Expiration date-  Describe boating accidents or losses, last 5 years - (date, cause, amount)  (repeat details for any other regular operator)- BOAT:  Model year-       Builder-               Model (or rig)-           Length overall-    Construction-                               Flag-  Purchase Date-                              Purchase Cost-  Total Investment - (improvements, not maintenance) ENGINE(S):  Number-          Year(s)-              Manufacturer(s)-                        Total Horsepower-      Fuel- EQUIPMENT: Automatic extinguisher [ ]    Fume detector [ ]     Theft Alarm [ ] VHF radio [ ]    Depth finder [ ]    Loran or GPS [ ]    Radar [ ]   EPIRB [ ]  Sextant [ ]   Paper Charts [ ]    Weather Fax [ ]   Storm Sails [ ] Describe Ground Tackle- Other safety gear- TENDER: Model year-       Builder-                          Model or length- Engine year-      Manufacturer-                     Horsepower- USE (select all that apply): Private pleasure [ ]    Liveaboard [ ] Captain charter [ ]    Bareboat charter [ ]      Racing [ ]   Number of paid crew [ ] Navigation area- Regular Mooring Location- Lay-up Period- Afloat or Ashore? COVERAGE: Hull & equipment value-                   Deductible- Liability limit- Tender value & motor value- Other specifications- How did you learn about International Marine Insurance Services?- COMMENTS: