Be Happy Boating Quote Form

Customer

First Name *

Last Name *

State *

Phone *

Email Address *

COVERAGE NOT AVAILABLE IN CALIFORNIA.

Engine Information

Year of engine. *

Engine Manufacturer *

Type of engine. *

Horsepower per Engine. *

Number of engines. *

Number of propellers per engine. *

One

Two

Is your engine a Volvo Penta IPS or Mercruiser Zeus? *

YES

NO

Is your engine under manufacturer warranty? *

YES

NO

Engine warranty start date. * +

Engine warranty end date. * +

Hours *

Boat Information

Year of boat. *

Boat Manufacturer. *

Other *

Boat Length (Feet) *

Model: *

Is your boat under manufacturer warranty? *

YES

NO

Boat warranty start date. * +

Boat warranty end date. * +

Type of Boat *

Will the boat be used to generate income? *

Yes

No

Purchase Information

Boat Sales Price *

Ownership status of the boat described above: *

Purchasing this boat within the next month.

Purchasing this boat within the next year.

Purchased this boat within the last month.

Already own this boat.

Where are you/did you purchase your boat? *

Name of dealer you are purchasing/purchased boat. *

What type of coverage are you looking for? *

Authorization

I attest that the information provided is accurate. I understand that no offer is currently being made to me and coverage is contingent on a variety of factors. I grant permission to Be Happy Boating to contact & solicit met based on the information provided above. *

ACCEPT

Full Privacy Policy available here: https://behappyboating.com/privacy-policy

I understand and accept the privacy policy on how my information will be utilized. *

ACCEPT