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Thank you for choosing Northstar Marine Insurance to assist you with your insurance needs.  By completing just a few questions we can help you find the very best coverage at an affordable rate.

Registered Owners Full Name(s)
Age
How many years of boating experience you have?
Have you taken any accredited marine training courses?
If you have chosen ‘other’, please provide the course title and who it was taken through
Have you held marine insurance within the last year?  Yes No
Have you had a marine insurance claim within the last 3 years?  Yes No
If yes, please provide details of that claim
Vessel Type
Year
Make
Model
Hull Construction
Make of Engine
Horsepower
Maximum Speed (mph)
Do you have a trailer?  Yes No
Do you have any additional engines?  Yes No
Do you have a tender?  Yes No
Total value of the entire package including taxes


Please ensure that the values for any additional engines and or tenders are included
Would you like to add any additional information?  Yes No

Thank you for providing this information, our office will e-mail you a quote. What e-mail address would you like us to send it to?
Should we need to contact you to review this information further what would be the best telephone number to reach you at?
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Northstar Marine Insurance Inc.
270-92 Caplan Ave, Barrie, ON, L4N 9J2
Phone 1-866-717-9295, Fax 1-866-354-7337
info@northstarinsurance.ca