Wisconsin Boat
Insurance Quote
We provide affordable Boat Insurance
policy services throughout Wisconsin!
The Insurance Shoppe
of Chilton, WI offers
affordable and
experienced personal
insurance services
throughout Wisconsin.
Contact us about Auto,
Umbrella, Motorcycle,
Farm, RV, Life, and
Home Insurance at
(920) 849-4534.
In addition to Wisconsin
Boat Insurance, we also
offer affordable
Wisconsin Home
Insurance policy
premiums.
We are your local Calumet County, Wisconsin insurance agency, offering
affordable boat insurance policy premiums to residents of the following
cities and counties: Chilton, New Holstein, Malone, Kiel, Hilbert, Forest
Junction, Potter, Reedsville, Brillion, Stockbridge, Sherwood, Hayton,
Brothertown, Marytown, Calumetville, Pipe, Johnsburg, Mt. Calvary, St.
Cloud, Elkhart Lake, Ada, Sheboygan, Cleveland, Manitowoc, Spring
Valley, Osman, Plymouth, Two Rivers, Whitelaw, Valders, St. Nazianz,
Newton, Collins, Kimberly, Kaukauna, Darboy, Oshkosh, Winnebago,
Appleton, Menasha, Neehah, Menchalville, Greenville, Holland, Little
Chute, Wrightstown, Morrison, Wayside, Kellnersville, Francis, Branch,
Cooperstown, Maribel, De Pere, Bellevue, Allouez, Ashwaubenon,
Denmark, Tisch Mills, Kewaunee, Howard, Green Bay, Oneida,
Luxemburg, New Franken, Pilsen, Anston, Black Creek, Freedom, New
London, Sheyboygan Falls, Plymouth, Greenbush, Fond du Lac, Peebles,
Taycheedah, Kohler, Howards Grove, Dundee, Cascade, West Bend,
North Fond du Lac, Eden, Waldo, Cedar Grove, Hingham, Fond du Lac
County, Sheboygan County, Brown County, Winnebago County,
Outagamie County, and Manitowoc County, WI.
Applicant Information:
Full Name:          
Mailing Address:
City:   Wisconsin
Zip Code:
Email Address: (Required) 
Home Phone:   Work Phone:   Ext.
How to Contact You:
Date of Birth:              (mm/dd/yyyy)
Gender:         Marital Status:
Current Insurance Company: 
Policy Expiration Date:          (mm/dd/yyyy)

Wisconsin Boater Information:

  Boat       Year          Builder               Model            Vessel Type     Length
     1        
     2        

Engine Information:
  Boat       Year       Engine Type       Manufacturer      How Many Engines
    1              
    2              

Mooring/Storage Location
  Boat
     1      
     2      

What types of safety equipment is on your vessel(s)?
(check as many boxes as desired)
  Boat
     1   VHF    Depth Finder    SAT NAV    Auto Halon
          EPIRB    SSB    GPS    Radar
          Loran    CO-2    Fume Detector    Other
     2   VHF    Depth Finder    SAT NAV    Auto Halon
          EPIRB    SSB    GPS    Radar
          Loran    CO-2    Fume Detector    Other

Is boat used on any private lakes?
  Boat
     1      
     2      

Is this a promotional/Memo boat?
  Boat
     1      
     2      

Is boat used for guide service or chartering?
  Boat
     1      
     2      

Is boat used for residence?
  Boat
     1      
     2      

Is boat used for waterskiing?
  Boat
     1      
     2      

Is your driving record accident & violation
free during the past 5 years? 
If No, how many accidents?    How many violations? 

Boat Insurance Coverages Desired For?
(check as many boxes as desired)
Boat(s)    Motor(s)    Equipment    Trailer

Wisconsin Boat Insurance Coverage Information:

                    Liability                  Uninsured
  Boat    Limits(x $1,000)      Boater(x $1,000)       Medical
     1                     
     2             SAME                       SAME                   SAME

                   Collision         Comprehensive
  Boat       Deductible           Deductible
     1             
     2             

Any boating claims of losses to vessel(s) or
from liability in the past 5 years?
Description of losses:


Additional Information or Comments


Click on the "Submit Quote Information" button below to
send your Wisconsin Boat insurance quote request.**

**Information received from this Wisconsin Boat Insurance quote request form sent to The Insurance Shoppe, Ltd. will be for our use only and will not be sold, given to or distributed to any other parties. A quote will be based on the boat insurance policy information provided and does not guarantee acceptance of the risk by us. The precise coverage afforded is subject to meeting underwriting guidelines, and the terms, conditions and exclusions of the policy as issued. By submitting this request you acknowledge that this is neither an offer to insure nor a guarantee of insurance. Completion of this form does not entitle you to a Wisconsin Boat Insurance Policy. We are licensed in Wisconsin and will not provide quotes for other states.


The Insurance Shoppe
105 Southside Shopping Center
Chilton, Wisconsin 53014
(920) 849-4534
Toll Free: 1-866-601-1200
Fax: (920) 849-4158
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Copyright 2007-2008 The Insurance Shoppe Ltd. - All rights reserved
Toll Free
1-866-601-1200
Working to insure and
protect you since 1963!
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