Jetski



Please take a moment to fill out this form and one of our brokers will contact you shortly to offer you a quotation or discuss your requirements further.
Title* 
First name* 
Second/middle name
Surname* 
Date of birth* 
Place of birth* 
Sex* 
What is your occupation* 
Are you self employed* 
What is your employers business
Name or number of your home* 
Post Code* 
Do you own or rent this property* 
E-mail address* 
Daytime contact number (including code)* 
Evening contact number (including code)
Mobile contact number (including code)
How did you hear about us* 
When do you need this insurance to start* 
Jet ski make* 
Jet ski model* 
Data tag* 
When was it built (year)* 
The policy allows anyone aged 17 or over with at least 1 years experience to use the jet ski with your permission
How many jet ski experience do you have* 
Do you want to name young/inexperienced persons* 
Third party liability* 
Waterskiing liability* 
Inflatable toys liability* 
Racing risks extension – enter value of masts, spars and sails* 
How is it kept when not in use* 
Where is it kept* 
What cruising range do you require?* 
What is the total sum insured required* 
Have you made any previous claims* 
No claims discount* 
Privacy and Data ProtectionThe Rossborough Group holds your details in accordance with relevant Data Protection Law in the UK, Isle of Man and Channel Islands. Some or all of the information you supply to us in connection with your insurance proposal will be held on computer and may be passed to insurance companies for underwriting and claims purposes. In addition, we may use some of the information to advise you of other products and services offered by the Rossborough Group. If you do not wish to receive such details please contact our Compliance Officer.


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