Vaughne Assurance

Toll Free: 1-866-284-4748

* Name:

* Email Address:

* Age:

* Address:

* City:

* Province:

* Postal Code:

* Phone Number:

Fax Number:

* Policy Effective Date:

* Liability Requested:

* Vessel Type:

* Vessel Manufacturer:

* Year Built:

* Overall Length:

* Construction:

* Main Engine:

* Twin Engine:

Yes

* Tender/Outboard/Trailer/Cradle:

Yes

* Date Purchased:

* Years Operated:

* Price paid when purchased:

* Present market value:

* Estimate replacement (new) value:

* Courses & Level Completed:

* Loss Details:

* Has any company ever cancelled or refused insurance of this description?

Yes