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Please complete the information requested below as accurately as possible, and upon your submission a Sterling Personal Insurance Division representative will contact you within 24 hours to provide your quote.

If you wish to speak to a Sterling representative directly, please call our Personal Insurance Division at (586) 323-5700. For the Lansing office call (517) 323-3737.

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Personal Information

Full Name:*

Employer/Occupation:

Email:*

Address:*

 

City:*

State:*

Zip Code:*

Phone:*

Vessel Information

Year:

Make:

Model:

Hull Type:

Boat Length:

Max. Speed (in MPH):

Market Value:

Engine Make:

Engine Horsepower:

Fuel Type:

Trailer Coverage Needed? - Select - Yes No

Trailor Value:

Where is boat moored or stored?

Describe boat general usage?

Operator Information

Operator #1
Operator's Name:

Years of Boating Experience:

Date of Birth:

Sex: - Select - Male Female

Marital Status: - Select - Married Single

Operators Ed: - Select - Yes No

Operator #2
Operator's Name:

Years of Boating Experience:

Date of Birth:

Sex: - Select - Male Female

Marital Status: - Select - Married Single

Operators Ed: - Select - Yes No

Operator #3
Operator's Name:

Years of Boating Experience:

Date of Birth:

Sex: - Select - Male Female

Marital Status: - Select - Married Single

Operators Ed: - Select - Yes No

Operator #4
Operator's Name:

Years of Boating Experience:

Date of Birth:

Sex: - Select - Male Female

Marital Status: - Select - Married Single

Operators Ed: - Select - Yes No

Vessel Coverages

Limits of Liability: - Select - $25,000 $50,000 $100,000 $250,000 $300,000 $500,000 $1,000,000

Hull Coverage: - Select - NO Coverage $250 deductible $500 deductible $1,000 deductible

Water Ski Medical Coverage? - Select - Yes No

Discount Code:

Remarks:

 

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