Haven Knox Johnston Enquiry Form

Haven Knox-Johnston Insurance Enquiry Form.

Haven Knox-Johnston specialise in boat insurance including dinghies, small craft,
Inland waterways craft, sailing yachts and motor boats whether based in the United
Kingdom or abroad.

Please complete the enquiry form below, click on “send enquiry” and your request will
be sent to Haven Knox-Johnston for processing.

If you would prefer to speak to a member of staff directly, call Haven Knox-Johnston on
01732 223600 and mention Yachts, Boats & Toys.

Prior to the completion of this enquiry form please read the ‘Data Protection’ notice.

Haven Lead Form



	Title
	Full Name
	Insured Address
	Postcode
	Email Address
	Date of Birth
	Telephone
	Occupation
	Vessel Make/Builder
	Vessel Model
	Length in feet
	Year of build
	Engine Type (select from list) Inboard Outboard
	Engine manufacturer
	Horsepower of engines
	Maximum designed speed
	Fuel type
	Price paid (£
	Sum to be insured (£
	Purchase date
	Marina Berth Yes No
	Mooring location
	Mooring type
	Cruising range
	Other
	Number of years no claims bonus
	Years of experience using this type of craft
	Claims in the last 5 years Yes No
	Claims total (£
	Names of any co-owners
	Port of registry
	Notes/Comments

Please note:

To provide an indication of premium, it will be assumed that the craft was professionally built, is of GRP, Aluminium or Steel construction, will not be used for racing, is used for private pleasure purposes only, and the enquirer has a conviction free history. If this does not apply to you, please advise us in the Notes / Comments box on the form.

Data Protection:

To consider your request for insurance cover or administer subsequent dealings in respect of your insurance we must process your personal data and where appropriate your “sensitive” personal data and in doing this we will comply with the provisions of the Data Protection Act 1998.

Unless required by Law, or as necessary to effect or administer your insurance none of your personal data (even if not 'sensitive') will be disclosed without your consent to any person, or organisation, or used for any purpose.

The Data Controller is Amlin Underwriting Services Limited.

Haven Knox-Johnston

11 Tower View

Kings Hill

West Malling

Kent

ME19 4UY

Tel: 01732 223600

Fax: 01732 223601

Email:haven@amlin.co.uk