Return to Home Page

California Insurance Quotes Online!

California low cost auto, motorcycle and boat insurance quotes from Marketing Direct Insurance Services, Inc.

Select Your Quote Below:

click for free CA auto insurance quote
Click for Free Auto Quote



click for free California homeowners insurance quote
Click for Free Homeowners Quote



click for free CA motorcycle insurance quote
Click for Free Motorcycle Quote



click for free trucking insurance quote
Click for Free Trucking Insurance Quote



click for free CA commercial auto insurance quote
Click for Free Commercial Auto Quote



click for free classic car insurance quote
Click for Free Classic Car Auto Quote



click for free California contractor liability insurance quote
Click for Free Contractor Liability Quote



click for free rv insurance quote
Click for Free R.V. Insurance Quote



click for free California boat insurance quote
Click for Free Boat Insurance Quote



click for free Personal Umbrella insurance quote
Click for Free Umbrella Insurance Quote



click for free Bond quote
Click for Free Bond Quote



click for CA Special Event Insurance quote
Click for Special Event Insurance Quote



Thanks for using our services!

Marketing Direct
Insurance Services Inc.
463 Brewster Ave, Suite 5
Redwood City, CA 94063
Toll Free: 800-924-5377
Phone: 650-365-1669
Fax: 650-365-1693

E-Mail us at:
office@marketing-direct.com

Service Your Policy
About Our Agency
Privacy Notice
Map/Driving Directions


your California insurance purchase can be paid by major credit card!

your California insurance purchase will always be satisfactory with us!

© 2010 Insurance Web Sales

Lowest California Auto, Homeowners, Motorcycle and Boat Insurance Rates! FAST Phone & Online Estimates. FREE
QUOTES!
Free Quotes on California car, home, motorcycle, and business insurance from Marketing-Direct.com

On-Line Boat & Jet Ski
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data

Your Name:
Street Address:
City:
State: (Must be California)
Zip Code:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
Primary Insured's Occupation:
 
Marital Status:
Single Married
Homeowner?
Yes No
 
Boat Currently Insured?
(If yes, list carrier, and # of years
continuous. If none, type N/C)
 
Is this Boat Co-owned?
(If yes, list all owners names)


OPERATOR INFORMATION #1
Name: Birthdate:
Sex (M/F): # Years U.S.
 Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations, and approximate DATES of each in the fields below:
Number & Type of Accidents last 3 years: Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years: Number of Years
Boating Experience:


OPERATOR INFORMATION #2 (if none, leave blank)
Name: Birthdate:
Sex: # Years U.S.
 Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations in fields below:
Number & Type of Accidents last 3 years: Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years: Number of Years
Boating Experience:


VESSEL & UNDERWRITING INFORMATION
Year of Boat: Make & Model
(be specific):
 
Boat Length: Hull Type
(wood, Metal,
fiberglass, etc):
 
Max. Speed
(in MPH):
Market Value: $
 
Engine Make: Engine Type:
(Inboard, I/O, Jet)
 
Engine Horse
Power:
Fuel Type:
(Gas, Diesel, etc.)
 
Trailer Cov.
Needed?
Yes No Yr./Make/Model
of Trailer:
 
Trailer Value: $ Where is boat
moored or stored?
 
Describe waters
boat taken on?
Describe boat
general usage?
(fishing, ski, etc.)


VESSEL COVERAGES:
Limits of
Liability:
$15/30 BI / 10 PD $25/50 BI / 15 PD
$50/100 BI / 25 PD $100/300 BI / 50 PD
$250/500 BI / 100 PD
 
Hull Coverage: NO Coverage $250 Deductible
$500 Deductible $1000 Deductible
 
Water Ski
Medical Coverage?
Yes No   Uninsured
  Motorists Cov.?
Yes No
 
Comments or Remarks:
(List additional drivers,
special coverages, etc. here)


Send my quotation via: E-Mail Fax
Regular Mail
Call me by Phone!

Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a Boat Quote NOW!


Help Us Fight Spam! Type the Numerical Code you see at right, into the empty text box on the left, so we know you are a human. Thanks for your help!

Enter code at right, here:
Web Form Protection Code
reload image

Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!