Prescott & Craig Insurance Prescott & Craig Insurance
Prescott & Craig Insurance 101 East Main
Jerome, ID. 83338
1-208-324-7000
info@prescottandcraig.com

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Independent Insurance Agent



ONLINE BOAT QUOTE FORM
Full Name:

Phone Number:

Physical or Mailing Address: (street, city, zip)

Email Address:


Prior Insurance Coverage:
Yes
No

Prior Insurance Carrier:

Policy Number:


Any Young Drivers:
yes
no

Tickets/Accidents Past Three Years:


Losses in Past Three Years:


Boat Year:
 
Horse Power:
 
Length:
 
Max Speed:
 
Make/Model:
 
Type of Motor:

Value of Motor:
 
Value of Hull:
 
Value of Trailer:
 

Drivers Name:
 
 
 
Drivers Lic. Numbers:
 
 
 
Birthdates:
 
 
 
Social Security Numbers:
 
 
 

Waterskiing Medical Needed:
yes
no
Comments/Questions:





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Prescott & Craig Insurance
101 East Main - Jerome, ID 83338
1-208-324-7000
info@prescottandcraig.com

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