Quote Request - Fishermen Services

First Name*
Last Name*
Email Address*
Are you a current MLA Member?*
Hull Quote
Size of Vessel*
Year of Vessel*
Value of Vessel*
Hull*
Engine*
PI Quote
Type of Fishery?*
Method of Fishery?*
Coverage*
Do you travel more than 100 miles from shore or stay out more than 48hrs?
Crew Coverage
Number of Crew?*
How Many Months?*
Deductible*
Endorsements
Marina*
Do you participate in any chartering activities?
Additional Insured*
Additional Notes
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Comments
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