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We are proud to be
authorized agents for the
following quality insurance providers:

Empower Marine Yacht and Mega Yacht Insurance Quote Form

There are hundreds of insurance products out there, let Empower Marine Insurance Services do the shopping for you. We can give you multiple quotes and help you select just the right product for your needs. Please fill out the secure form below and hit the 'Submit' button. Empower will contact you shortly with quote information.

General Contact Info

First name
M.I
Last name
Address
City
State
Zip
Email
Phone
Alt. Phone
Fax

Occupation
Age
How many years Vessel Operation Experience?
Current insurer
Existing Policy Expiration Date

Vessel Information

Boat name
Manufacturer
Model
Power Boat
Sail Boat
Other
Boat year
Boat length
Boat make
Hull material

Engine Information

Number of engines
Total HP
Top Speed
Engine manufacturer
Fuel type

Vessel Enhancements and Options (Please check all that apply)

GPS
Radar
Auto
Pilot
Anti Theft
Devices
VHF
Radio
Bilge Alarm
Auto Alarm
Fume Alarm
Depth Finder

Please specify other options not listed here

Additional Info

Last Survey Date
Surveyor Name	$
Vessel	$
Date of Last Haul Out
Market Value
Replacement Value

Completed Boating Courses

USCG
USPS
ASA
College
Sailing Club
Private Instruction

Other Courses

Previous Vessels Owned

Vessel Location
Your Area of Navigation
Purchase price of vessel
Date of purchase
Prior boats owned/operated?
Value of contents aboard
Boat Losses in the last five years

Comments or other information

How did you hear about us?

888-606-2746
(888-60-MARINE)

Office Hours:
9AM to 5PM
Monday through Friday

Lic.#0C67306

Empower Marine Insurance 16585 Pacific Coast Hwy. PO Box 941 Sunset Beach, CA 90742 714.895.7050 FAX: 714.780.1306 Email