Insurance Agency Gugino Group Inc.

Insurance Agency Gugino Group Inc. Serving All of New York State. Savings and Security are Just a Quote Away

Request a Quote - Boat Insurance

Do you have another Allstate Policy?

yes no

If yes for what:

How many operators do you want to cover?

Name:

Address:



Date of Birth:

Gender:

yes no

Marital Status:

(If there is more than one operator, please fill out the operator 2 fields. If you need more space, please use the comment box at the bottom of the page.)

Operator 2 - Name:

Operator 2 - Address:



Operator 2 - Date of Birth:

Operator 2 - Gender:

yes no

Operator 2 - Marital Status:

Type of watercraft:

Runabout
Personal Watercraft
Cabin Cruiser
Sail Boat
Catamaran
Houseboat
Pontoon
Canoe
Dinghy
Other

How long is the Watercraft?

Model Year:

What propulsion type does the watercraft use?

Inboard
Outboard
Inboard/Outboard
Jet Drive
Twin Outboard
Supplemental
None

If inboard engine, is there an automatic fire extinguisher system?

How much horsepower does the Watercraft have?

Does the watercraft have a diesel engine?

yes no

How much is the Watercraft worth?

Is it less than 5 years old?

Have you taken a boating safety course?

yes no

Do you have a trailer?

yes no

Comments/Questions: