Hover Craft Insurance Survey

Contact Information:

Name:
Address:
Tel. #(optional):
e-mail:

Hull and Machinery:

Make:
Model:
Year:
Value:
Horsepower:
Length:
Width:
Special Equipment:

Operator Data:

Personal Use:
Business and/or Commercial Use:
Other Use:
Specifiy other use:
Kit:
Manufactured:
Homebuilt:

Experience:

How long have you owned hovercrafts (years):
How long have you operated hovercrafts (years):

Do you have insurance now?
Yes
No

Disclaimer: All information will be use for insurance purposes only, your infomation will remain confidential with Hovercraft Ontario, Hovercraft Club of Canada and McFarlan Rowlands Insurance.

Questions? Please Contact:

Doug Bell C.A.I.B. McFarlan Rowlands Insurance Brokers 1 519 285 3710 dbell@mcfarlanrowlands.com
Mario DeCastris V.P. of Hover Craft Club of Canada 1 613 476 4991 mario@lincsat.com
Barc Clifford Owner/President of Hover Craft Ontario 1 519 877 2315 slrvpark@execulink.com