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PWC Quick Quote Form

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General Information
Insured Firstname *
Insured Surname *
Insured Contact Number
Are you over 35 years of age?	Please select ... Yes No
Are one of the listed “approved security devices” utilised whilst your PWC is stored, in transit or not in use? SPT will provide a discount if you are able to show proof of purchase.	Hitch Helmet Klamp It Marine Guard Trailer Cop/Safety Lock
Has your PWC been fitted with Datadots? SPT will provide a discount if you are able to show proof of Datadot registration.	Please select ... Yes No
Have you been a client of SPT for 3 or more consecutive years?	Please select ... Yes No
Location
State	Please select ... ACT NSW VIC QLD SA NT WA TAS
Postcode
Liability to Third Parties
How much cover do you want for your liability to third parties?	$2,000,000 $5,000,000 $10,000,000 $20,000,000
Do you want to include Water Skiers liability?	Please select ... Yes No
Are you a member of the Australian Jet Sports Boating Association (AJSBA)?	Please select ... Yes No
If Yes, do you want to include Racing liability?	Please select ... Yes No
Details of the PWC & Trailer
(Note: Cover is limited to market value or sum insured, whichever is the lesser)
PWC Proposed Insured Value Please enter whole dollar amount
Trailer Proposed Insured Value Please enter whole dollar amount
Pontoon Proposed Insured Value Please enter whole dollar amount
Equipment & Accessories Item 1 Proposed Insured Value Please enter whole dollar amount
Equipment & Accessories Item 2 Proposed Insured Value Please enter whole dollar amount
Equipment & Accessories Item 3 Proposed Insured Value Please enter whole dollar amount
* Indicates a mandatory field.