Canoe Quote

1. Name:
2. Phone Number:
3. Email:

1. New For Old ? Standard ?

1. Third Party, Fire and Theft

   Full Policy:

   Placid Water ? White Water ? White Water Competition Use ?

N.B. If cover is required for more than 10 items please contact us. Clubs or individuals with many items need to discuss a more tailored cover.

• Make & Model
  Type

  Canoe/Kayak Sea Kayak Equipment
  Date Manufactured
  Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983
  Value (GBP)
  Roof Rack? ?

1. Are you a BCU member?

   Yes No Membership Number

2. Are there three or more craft listed above?

   Yes No
   Do you have any no claims bonus?
   None 1 Year 2 Years 3+ Years