The fields with asterix (*) are obligatory.
Policyholder's name*
NIE-number or passport number*
Address in Spain*
Postal code and city*
Telephone number*
E-mail*
Type of boat*
Registration number*
Purpose of use and max. capacity (persons)*
Year of manufacture and the value of the boat*
Length*
Number of motors and total hp*
Speed max.*
Material of boat*
Name and mark of boat*
Name and mark of motor*
Bank account number (IBAN) for direct debits
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Seguria S.L. 2024