|
Full
name:
|
*
|
|
Date
of birth:
|
Day:Month:Year:*
|
|
Licence
issued on:
|
Day:Month:Year:*
|
|
Address
in Spain:
|
|
|
Post
code:
|
*
|
|
City:
|
|
|
Telephone:
|
*
|
|
Fax:
|
|
|
E-mail:
|
|
|
| Jet
ski information
: |
|
Country
of registration:
|
|
|
Make
and model:
|
|
|
Construction
material:
|
|
|
Year
first registered:
|
*
*If
you’ve just bought it, new or second-hand, please write down on
Remarks the details of the seller. In order to quote, we need to
know the original standard equipment
and the value of any extras added
since and not included in the original price.
|
|
Authorised no. of persons:
|
*
|
|
Speed
in knots:
|
* |
|
Length:
|
* |
|
Navigation
area:
|
Spanish
and French waters*
European
Mediterranean
Others. |
| Total
HP:: |
* |
| Do
you want to insure the jet-ski comprehensive?: |
yes No |
| Jet-ski
value: |
€ |
| Accessories
value: |
€
*safety
equipment and
non-standard items |
| Place
of usual mooring: |
|
| Jet-ski
Trailer value: |
|
| Removal
of wreck |
yes
No
€ |
| Civil
liability: |
yes
No
336.566,78 €
601.012.10 €
901.518,16 €
|
|
Legal
protection included:
|
yes No |
|
Assistance
at sea:
|
yes
No |
|
Water
skiing:
|
yes
No |
|
Skier:
|
yes
No
Nº |
| Additional Information: |
|
|
|
|
| I
would like to receive the information by: |
-
E-mail
-
Fax
-
Telephone
-
Mail
-
A personal visit from the broker
in person in Duñach’s office in Roses
in person in Duñach’s office in Empuriabrava
|