Application for Skipper liability insurance

Important:

By transferring the premium I acknowledge that I have read and understood the

Obligatory information disclosed in compliance with § 11 VersVermV, the

We are sorry but according to insurance problems we are not allowed to cover American or Canadian citizens.

We offer three methods for arranging this insurance :

Download the remittance slip , complete it and make the transfer.

Send the Skipper liability insurance remittance slip by post:

Payment via PayPal account or credit card:
For a charter period up to 6 weeks max. ...
	Sailing yacht up to 10m long	72,- EURO
	Sailing yacht up to 15m long	98,- EURO
	Motor yacht up to 10m long	85,- EURO
	Motor yacht up to 13m long	124,- EURO
With one-year cover ...
	for all types of boat (?)	158,- EURO
The stated premiums include statutory insurance tax and charges.
Please click if you pay by credit card (or a PayPal account) from an EU country or Norway, Iceland and Lichtenstein. This will reduce your online handling fee.
Your online handling fee: Euro

Skipper Information
Surname:		First name:
Street:		Town/City:
Postal code:		E-mail:
Phone:		Mobile:

To complete
Inception date:		(dd-mm-jjjj)
Where do you know us:		Charter Company/Agency:
I have read and understood the obligatory information disclosed in compliance with § 11 VersVermV, the obligatory information pursuant to § 1 VVG-Info and the Exclusive Brokerage Contract.

Right of cancellationThe customer is entitled to withdraw his contractual declaration (Payment) for the Skipper liability insurance, for the Charter deposit insurance as well as for the Skipper's passenger accident insurance within two weeks provided the travel has not yet commenced (start of insurance). The cancellation must be made in writing and reasons for the cancellation are not required to be stated. This does not apply to cancellation of travel costs insurance and insurance against insolvency because the insurance cover here starts immediately. The period for cancellation starts with the receipt of payment into the account of Hamburger Yacht-Versicherung. The cancellation period is met if the notification is dispatched within the specified time. Cancellations should be sent to: Hamburger-Yachtversicherung / Schomacker Versicherungsmakler GmbH Katharinenhof/Zippelhaus 2 / 20457 Hamburg

Hamburger Yacht-Versicherung
Schomacker