Haven Knox-Johnston Enquiry Form

As a Yacht Haven Berth Holder, you are entitled to up to a 15% discount on your boat insurance through Haven Knox-Johnston.

This includes a 10% discount for all marina berth holders and an additional 5% discount when introduced via Yacht Havens.

Please complete the enquiry form below and ‘send’ your request 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 Yacht Havens.

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

Title *  
-- Please choose -- Mr Mrs Miss Other (please specify) Other:

Full Name *  

Insured Address *  

Postcode *  

Email *    

Date of Birth

Telephone *  

Occupation

Vessel Make/Builder

Vessel Model

Length (in feet)

Year of build

Engine type
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
-- Please choose -- Pontoon/Jetty Marina Fore & Aft/Trot Swing

Cruising range
-- Please choose -- Inland and 30 days Coastal Inland and Coastal Waters of the UK Inland and coastal waters of the UK including Continental waters, Elbe to La Rochelle Other - Please specify Other:

Number of years no claims bonus
-- Please choose -- None 1 year 2 years 3 years 4 years 5+ years

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

Send