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Home > Watercraft Boat > Secure Boat/ Watercraft Insurance Quote
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Secure Boat/ Watercraft Insurance Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

  • Applicant Information
  • Boat Information
  • Operator Information
  • Trailer and Storage
  • Coverage Information
Applicant Information
First Name *
Last Name *
Street *
City *
State *
ZIP / Postal Code *
Primary Phone Number *
E-Mail Address *
Boat Information
Boat Manufacturer
Boat Year
Boat Model
Purchase Price
Present Value
Registration Number or VIN
Boat Length
Engine
Hull Construction
Number of Motors
Total Horsepower
Max Speed
Years Owning
Years Experience
Operator Information
Operator Name (First,Last)
SS Number
Date of Birth
/ /
Gender
Relation to Applicant
License State
License Number
Accidents Within 5 Years?


Hold down the Ctrl Key to make multiple selections.
Violations Within 5 Years?


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Completed any safety courses?
Trailer and Storage
Storage Address
Storage City
Storage State
Storage Zip
Trailer Year
Trailer Make/Model
Trailer Value
Coverage Information
Current Carrier Name
Policy Expiration
Premium Amount
Protection & Indemnity Limits
Years with Current Carrier?
Additional Information
Agent Name (Optional)
How Did You Hear About Us ?
Preferred Contact Method
Additional Comments
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

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1802 S Parrot Ave
Okeechobee, FL 34974
P: 863-763-7711
F: 863-763-5629

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