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Personal details

Nationality: *
Make a choice...United Kingdom Ireland The NetherlandsBelgiumOther, namely...

Title: *
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Name: *

Last name: *

Telephone number: *

E-mail: *

Address in Spain:

Address 2:

Postal code in Spain:

Place of residence in Spain:

NIE number:

Date of Birth:

Resident in Spain:
Make a choice... Yes No In the near future

Data boat insurance

Name of the boat:

Brand of the boat:

Brand of the engine:

The model of the engine:

Type of boat:
Make a choice...MonohullRibsRubberboatCatamaran (with engine)Catamaran (sailboat)Sailboat with auxiliary engineSailboat without auxiliary engineJetskiOther

Where is the engine located?
Make a choice...InboardOutboard

Horsepower:

Maximum speed in knots:

Construction material:
Make a choice...Fiber, PolyesterWoodAluminiumOther

Year of construction:

Length of the boat (in meters):

Number of seats:

Registration number:

Registration:
Make a choice...7a - private use7a - without navigation or other use6a - private use6a - commercial and rental use without registration or only on inland waterways

Participates in jetskiing?
Make a choice...YesNo

Participates in sailing races or other competitions?
Make a choice...YesNo

Sailing area:
Make a choice...Spanish and Portuguese waters up to 200 miles (incl. Crossings to the Balearic and Canary Islands)Other areas

Which coverage do you want?
Make a choice...Third Party LiabilityAll risk (limited)All risk (complete)All risk (expanded)

Insured amounts in case of an all-risk coverage:

- Boat:

- Accessories:

- Sailing:

Desired starting date of the insurance (dd-mm-yyyy): *
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Other questions

Have you been in contact with Hypotienda before?
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