Welcome to Max Insurances
0800 ASK MAX (0800 275 629)
Phone 0800 ASK MAX or 0800 275 629
D1, 27-29 William Pickering Dr, Rosedale, Auckland, New Zealand, 0632
Tel: 09 913 3011
159 Jellicoe Street, Te Puke, Bay of Plenty, New Zealand, 3119
Tel: 07 850 9213
Your Name
Date of Birth
Your Address
Contact Number
Your Email
Do you have existing boat insurance YesNo
If you have, could you tell us the insurance company name and your customer & policy no.
Have you had any boat related claims in the past 2 years YesNo
Type of Boat ---Trailered PowerboatTrailered SailboatTrailered JetboatJet SkiSailing BoatCanoe/Kayak/DinghyWindsurferAmphibious CraftHovercraftOther
Will this boat be raced at anytime YesNo
Make
Model
Boat Name
Year of Manufacture
Hull, Fixtures & Fittings Value $
Boats Gear $
Trailer Value YesNo
Trailer Registration
How will the boat be stored when not in use ---Locked buildingSecured on the property where storedDrystackedMarinaOther
If your answer is 'other' to previous question, please tell us details
Is the boat on finance or lease YesNo
If your answer is 'yes' to previous question, what's the company
Any other relevant information that may affect the insurance cover
Declaration: I/WE HEREBY DECLARE AND WARRANT that the answers given above are in every respect true and correct, and that I/We have not withheld any information within My/Our knowledge likely to affect the decision of the Company as to My/Our eligibility for insurance. This request and declaration shall be the basis of the quote request. YesNo