Solution for

Online Inquiry Form Super Yacht

In order to initiate your individual quotation, without any obligation, please complete and return the following form by post or fax to the Pantaenius office of your choice, or email to superyacht@pantaenius.com. Upon receipt, you will be contacted by a member of the Pantaenius team who will look after your inquiry.

Please fill out all fields marked with *

Name:
I am	owner owner's representative captain broker
and interested in receiving a quotation for the insurance of:
MY/SY (indicate yard and type):
Length:
Year built:
Number of crew:
Cruising area:
Flag:
Charter:	yes no
Value:
Please contact me via:
Mail:
Phone:
Privacy policy: *	I hereby agree that the personal data mentioned be treated and saved exclusively for the survey handled by Pantaenius GmbH and the Pantaenius Versicherungsmakler GmbH. The data will not be conveyed to a third party. This agreement can be cancelled and withdrawn at any time.

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+43 1 710922213
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*Pantaenius UK Limited is authorised and regulated by the Financial Conduct Authority (Authorised No.308688)

**Pantaenius America Ltd. is a licensed insurance agent licensed in all 50 states. It is an independent corporation incorporated under the laws of New York and is a separate and distinct entity from any entity of the Pantaenius Group.

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