Full Name:            
Mailing Address:
City:
South Carolina
Zip Code:
Email Address: (Required) 
Home Phone:   Work Phone:   Ext.
How to Contact You:       Cell Phone:
Date of Birth:              (mm/dd/yyyy)
Gender:         Marital Status:
Current Insurance Company: 
Policy Expiration Date:          (mm/dd/yyyy)

South Carolina Boater Information:

  Boat       Year          Builder               Model            Vessel Type     Length
     1        
     2        

Boat Engine Information:
  Boat       Year       Engine Type       Manufacturer         # of Engines   Engine HP
    1            
    2            

Boat Trailer Information:
  Boat       Year          Builder               Model                Value
     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

Value of waterskiing and/or fishing equipment:

Is boat used on any private lakes?
  Boat
     1      
     2      

Is boat used in bay and/or coastal waters?
  Boat
     1      
     2      

Is boat used outside U.S. coastal waters?
  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

South Carolina 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             
List any boating safety education courses completed:


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 Request" button below to
send your South Carolina Boat insurance quote request.**


**Information received from this South Carolina Boat Insurance quote request form sent to Russell-Massey & Company 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 South Carolina 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 South Carolina Boat Insurance policy. We are licensed in South Carolina and will not provide boat insurance quotes for other states.


South Carolina Boat
Insurance Quote
We can provide cheaper South Carolina Boat Insurance
coverage in Columbia, SC and throughout the Palmetto State!
Russell-Massey & Co.
of Columbia, SC offers
affordable and
experienced personal
insurance coverage
services throughout
South Carolina.
Contact us about South
Carolina Auto, Renters,
Homeowners, Boat,
Motorcycle, Disability,
and Health Insurance toll
free at (800) 849-7475.
In addition to South
Carolina Boat Insurance
quotes, we also offer
affordable Homeowners
Insurance quotes.
We are a Columbia, SC insurance agency offering affordable
South Carolina boat insurance policy quotes in the following towns,
cities and counties in South Carolina: Chapin, Arthurtown, Saluda
Terrace, Sandwood, Arcadia Lakes, Cayce, Olympia, Forest
Acres, Dentsville, Eau Claire, West Columbia, Springdale, Denny
Terrace, Belmont, St. Andrews, Irmo, Oak Grove, Lexington,
Galaxy, Bluff Estates, Hazelwood Acres, State Park, Haskell
Heights, Lincolnshire, Ballentine, Killian, Red Bank, South
Congaree, Edmund, Gilbert, Summit, Gaston, Hopkins, Capitol
View, Horrel Hill, Fort Jackson, Pontiac, Elgin, Blythewood,
Camden, Richtex, Whitehall, White Rock, Sumter, Lugoff, Boykin,
Rembert, Hagood, Horatio, Stateburg, Borden, Wedgefield,
Oswego, Gadsden, Fort Motte, St. Matthews, Swansea, Woodford,
Winnsboro, Pelion, Steedman, Samaria, Monetta, Batesburg
Leesville, Stoney Hill, Prosperity, Newberry, Peak, Little Mountain,
Slighs, Pomaria, Jenkinsville, Rion, Winnsboro Mills, Simpson,
Smallwood, Ridgeway, Orangeburg, Lexington County, Fairfield
County, Calhoun County, Sumter County, Kershaw County, Saluda
County, and Richland County, SC. We can also offer a cheap South
Carolina boat insurance coverage quote throughout the
Palmetto state, including in Florence, Greenville, Spartanburg,
Myrtle Beach, and Charleston, SC.
Applicant Information:
South Carolina Boat
Insurance Terms
Your South Carolina
Boat Insurance
Quote Source
Russell-Massey & Co.
1320 Elmwood Avenue
Columbia, SC 29201
Richland County, SC
Toll Free: (800) 849-7475
Office: (803) 779-7854
Fax: (803) 799-6546
Russell-Massey & Co.
409 Lexington Avenue
Chapin, SC 29036
Lexington County, SC
Office: (803) 941-3650
Fax: (803) 941-3654
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South Carolina
Personal
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Russell-Massey
& Company, Inc.
General Insurance
South Carolina Boat Insurance Solutions!
800-849-7475 toll free
803-779-7854
Serving South Carolina Since 1955