Watercraft Insurance

No coverage is bound until you are contacted by one of our representatives.

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Vessel Description
Year:
Make:
Model:
Length:
Value:
Hull ID Number:
Body Style:

Power Description
Engine #1
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Make:
Model:
Value:
Type:
Engine #2
Year:
Make:
Model:
Value:
Type:

Trailer Description
Year:
Make:
Model:
Value:

Additional Equipment Description
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Item #1 Quantity:
Item #1 Value:
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Item #2 Value:
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Item #3 Value:
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Item #4 Value:
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Item #5 Value:
Item #6:
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Item #6 Value:
Item #7:
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Item #8:
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Item #8 Value:
Item #9:
Item #9 Quantity:
Item #9 Value:
Item #10:
Item #10 Quantity:
Item #10 Value:

Member Advantage Insurance Services

12701 Schabarum Avenue

Irwindale, CA 91706

Phone: (800) 866-6474 x2368

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Fax: (626) 646-2297

www.memberadvantageins.com

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