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2021-12-02T11:35:23+00:00
Insurance offer form
VESSEL DATA
Type of boat:
Velero
Motor
Mark
Model
*
Boat base port
Boat navigation area
Postal Code
Duration (months)
Boat status:
Nuevo
Usado
Boat length
Choose ...
menos de 7,5m
menos de 10m
entre 10m y 20m
entre 20m y 24m
m´ás de 24m
Year of construction
Boat flag
concessionaire
Base price (€)
Contribution (€)
SUS DATOS
Estado civil (requerido)
Sra.
Sr.
Last name
*
Date of birth
Telephone
*
Town
*
Name
*
Country
*
E-mail
*
Tax residence
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