Captain Charter Supplemental Quote Request

Captain Charter Supplemental

Name(Required)

First Last

Business Name

Please describe in full the nature of the charters undertaken, including all activities made available to passengers:(Required)

Please advise if this vessel will be used for Diveboat Charter?(Required)

Commercial purpose of carrying passengers for hire on sport diving excursions; using underwater artificial breathing apparatus and/or submersible mechanical or electrical devise including, but no limited to, Submarines, Diving Bells and/or Diving Suits

Please advise the number of years the assured has been undertaking these charters in total:(Required)

Please advise the number of years the assured has been undertaking these charters from this location:(Required)

Please provide your website address, if applicable:

Will you require additional assured's to be named? if so, supply full name and mailing address for each:

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Captain Charter Supplemental Quote Request

Captain Charter Supplemental

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