{% extends "base.html.twig" %} {% block title %}Get your free Yacht Insurance Quote | Novamar Insurance{% endblock %} {% block metas %} {% if subAgentLink is defined and subAgentLink != '' %} {% endif %} {% endblock %} {% block css %} {{ encore_entry_link_tags('general') }} {{encore_entry_link_tags('yacht-insurance-new')}} {#{Responsive CSS Styles Novamar IT - 2019}#} {% endblock %} {% block body %} {# variable de la imagen usada para el logo del formulario #} {% if subAgentLink is defined and subAgentLink != "" %} {% set isAgent = true %} {% else %} {% set isAgent = false %} {% endif %}
{% if isAgent is defined and isAgent %}
{% endif %}
imagen de fondo del formulario
{# inicio del formulario #}
{{ form_start(nypform,{ 'attr': {'id': 'form-container'} }) }}
{% if isAgent == false %}

Welcome to Novamar’s Yacht quote form

{% else %}

Welcome to Our Yacht Insurance quote form

{% endif %}

Please introduce yourself

{{ form_label(nypform.firstName, "Name") }} {{form_widget(nypform.firstName,{ 'attr': {'class': 'check-change step-1'} })}} {{ form_errors(nypform.firstName) }}
{{ form_label(nypform.lastName, "Last Name") }} {{form_widget(nypform.lastName,{ 'attr': {'class': 'check-change step-1'} })}} {{ form_errors(nypform.lastName) }}

Hi [[firstName]]!

Nice to meet you

Tell us about your boat:

{{ form_label(nypform.boatName, "Boat name") }} {{form_widget(nypform.boatName,{ 'attr': {'class': 'check-change step-2'} })}}
{{ form_label(nypform.manufacturer) }} {{form_widget(nypform.manufacturer,{ 'attr': {'class': 'check-change step-2'} })}}
{{ form_label(nypform.lenght, 'Length') }} {{form_widget(nypform.lenght,{ 'attr': {'class': 'check-change step-2'} })}}
{{ form_label(nypform.built_year, "Year built") }} {{form_widget(nypform.built_year,{ 'attr': {'class': 'check-change step-2'} })}}
{{ form_label(nypform.hull_type) }} {{form_widget(nypform.hull_type,{ 'attr': {'class': 'check-change step-2'} })}}
{{ form_label(nypform.hull_material, "Hull material") }} {{form_widget(nypform.hull_material,{ 'attr': {'class': 'check-change step-2'} })}}

Please provide more information

Characteristics of the engine(s):

{{ form_label(nypform.power_type) }} {{form_widget(nypform.power_type,{ 'attr': {'class': 'check-change step-3'} })}}
{{ form_label(nypform.horse_power, "Horsepower per engine") }} {{form_widget(nypform.horse_power,{ 'attr': {'class': 'check-change step-3'} })}}
{{ form_label(nypform.max_speed, "Max vessel speed (knots)") }} {{form_widget(nypform.max_speed,{ 'attr': {'class': 'check-change step-3'} })}}
{{ form_label(nypform.number_engines, "Number of engines") }} {{form_widget(nypform.number_engines,{ 'attr': {'class': 'check-change step-3'} })}}
{{ form_label(nypform.engine_manufacturer) }} {{form_widget(nypform.engine_manufacturer,{ 'attr': {'class': 'check-change step-3'} })}}
{{ form_label(nypform.engine_year) }} {{form_widget(nypform.engine_year,{ 'attr': {'class': 'check-change step-3'} })}}
{{ form_label(nypform.fuel) }} {{form_widget(nypform.fuel,{ 'attr': {'class': 'check-change step-3'} })}}

Let's continue with more details

Purchase and usage:

{{ form_label(nypform.purchase_date, "Boat purchase date") }} {{form_widget(nypform.purchase_date,{ 'attr': {'class': 'check-change step-4 date-format'} })}}
{{ form_label(nypform.purchase_price, "Boat purchase price") }} {{form_widget(nypform.purchase_price,{ 'attr': {'class': 'check-change step-4'} })}}
{{ form_label(nypform.boat_use, "Boat usage") }} {{form_widget(nypform.boat_use,{ 'attr': {'class': 'check-change step-4'} })}}
{{ form_label(nypform.live_aboard, "Liveaboard?") }} {{form_widget(nypform.live_aboard,{ 'attr': {'class': 'check-change step-4'} })}}
{{ form_label(nypform.currently_insured, "Is your boat currently insured?") }} {{form_widget(nypform.currently_insured,{ 'attr': {'class': 'check-change step-4'} })}}
{{ form_label(nypform.insurance_company, "Select the insurance company:", { 'label_attr': {'class': 'd-none'} }) }} {{form_widget(nypform.insurance_company,{ 'attr': {'class': 'check-change step-4 d-none'} })}}

Great [[firstName]]!

We are halfway there

Coverages Limits:

{{ form_label(nypform.hull_value, "Hull coverage limit") }} {{form_widget(nypform.hull_value,{ 'attr': {'class': 'check-change step-5'} })}}
{{ form_label(nypform.deductible, "Hull deductible") }} {{form_widget(nypform.deductible,{ 'attr': {'class': 'check-change step-5'} })}}
{{ form_label(nypform.liability, "Liability coverage limit") }} {{form_widget(nypform.liability,{ 'attr': {'class': 'check-change step-5'} })}}
{{ form_label(nypform.medical, "Medical payments limit") }} {{form_widget(nypform.medical,{ 'attr': {'class': 'check-change step-5'} })}}
{{ form_label(nypform.personnal_effects, "Personal effects limit") }} {{form_widget(nypform.personnal_effects,{ 'attr': {'class': 'check-change step-5'} })}}
{{ form_label(nypform.towing_limits, "Emergency towing limit") }} {{form_widget(nypform.towing_limits,{ 'attr': {'class': 'check-change step-5'} })}}
{{ form_label(nypform.trailer_value, "Trailer value (optional)") }} {{form_widget(nypform.trailer_value,{ 'attr': {'class': 'check-change step-5'} })}}
{{ form_label(nypform.paid_creu, "Paid crew (if any)") }} {{form_widget(nypform.paid_creu,{ 'attr': {'class': 'check-change step-5'} })}}

We are building a tailor made quote for you,

please help us with more info

Boating Experience/Boat Location:

{{form_widget(nypform.courses,{ 'attr': {'class': 'check-change step-6 '} })}}
{{ form_label(nypform.years_experience, "Years of boat ownership") }} {{form_widget(nypform.years_experience,{ 'attr': {'class': 'check-change step-6'} })}}
{{ form_label(nypform.boats_owned, "Length/Manufacturer of boats owned") }} {{form_widget(nypform.boats_owned,{ 'attr': {'class': 'check-change step-6'} })}}
{{ form_label(nypform.date_vessel_survey, "Date of most recent vessel survey") }} {{form_widget(nypform.date_vessel_survey,{ 'attr': {'class': 'check-change step-6 date-format'} })}}
{{ form_label(nypform.list_accidents, "List prior boating losses:") }} {{form_widget(nypform.list_accidents,{ 'attr': {'class': 'check-change step-6'} })}}
{{ form_label(nypform.mooring_storage_country, "Mooring/Storage country") }} {{form_widget(nypform.mooring_storage_country,{ 'attr': {'class': 'check-change step-6'} })}}
{{ form_label(nypform.mooring_storage_state, "Mooring/Storage state") }} {{form_widget(nypform.mooring_storage_state,{ 'attr': {'class': 'check-change step-6'} })}}
{{ form_label(nypform.mooring_storage_zipCode, "Mooring/Storage zip code") }} {{form_widget(nypform.mooring_storage_zipCode,{ 'attr': {'class': 'check-change step-6'} })}}

Tell us where you use your vessel:

Navigations Limits

{{form_widget(nypform.navigation_limit_quote,{ 'attr': {'class': 'form-control check-change step-7'} })}}

[[firstName]], tell us more about you

{{ form_label(nypform.birthday, "Date of birth") }} {{form_widget(nypform.birthday,{ 'attr': {'class': 'check-change step-8 date-format'} })}}
{{ form_label(nypform.occupation) }} {{form_widget(nypform.occupation,{ 'attr': {'class': 'check-change step-8'} })}}
{{ form_label(nypform.additional_insured, "List additional owners (if any)") }} {{form_widget(nypform.additional_insured,{ 'attr': {'class': 'check-change step-8'} })}}
{{ form_label(nypform.owner_type, "Vessel ownership (Personal/Company)") }} {{form_widget(nypform.owner_type,{ 'attr': {'class': 'check-change step-8'} })}}
{{ form_label(nypform.company_name, "Company name (If applicable)", { 'label_attr': {'class': 'd-none'} }) }} {{form_widget(nypform.company_name,{ 'attr': {'class': 'check-change step-8 d-none'} })}}
{{ form_label(nypform.email, "Email address") }} {{form_widget(nypform.email,{ 'attr': {'class': 'check-change step-8'} })}}
{{ form_label(nypform.phone, "Primary phone") }} {{form_widget(nypform.phone,{ 'attr': {'class': 'check-change step-8 phone-format'} })}}

Almost there, [[firstName]]

{{ form_label(nypform.address, "Street Address") }} {{form_widget(nypform.address,{ 'attr': {'class': 'check-change step-9'} })}}
{{ form_label(nypform.city) }} {{form_widget(nypform.city,{ 'attr': {'class': 'check-change step-9'} })}}
{{ form_label(nypform.country) }} {{form_widget(nypform.country,{ 'attr': {'class': 'check-change step-9'} })}}
{{ form_label(nypform.state) }} {{form_widget(nypform.state,{ 'attr': {'class': 'check-change step-9'} })}}
{{ form_label(nypform.postalCode, "Zip code") }} {{form_widget(nypform.postalCode,{ 'attr': {'class': 'check-change step-9'} })}}

Final step!

{{ form_label(nypform.source, "How did you hear about us?") }} {{form_widget(nypform.source,{ 'attr': {'class': 'check-change step-10'} })}}
{{ form_label(nypform.desire_effective_date, "Desired coverage effective date") }} {{form_widget(nypform.desire_effective_date,{ 'attr': {'class': 'check-change step-10 date-format'} })}}
{{ form_label(nypform.comments) }} {{form_widget(nypform.comments,{ 'attr': {'class': 'check-change step-10'} })}}
loading quote

Your request has been forwarded to a licensed Novamar Insurance specialist who will be in contact with you within 48 hours

{% if subAgentLink is defined and subAgentLink != '' %} {{ form_widget(nypform.agent_link, {'value': subAgentLink}) }} {% endif %} {# servira para ocultar campos que aun no usaremos #}
{{ form_rest(nypform) }}
{{ form_end(nypform) }}
loading boat image
[[percentageProgress]]%
loading boat image
{# modales #}
{% endblock %} {% block javascript %} {{encore_entry_script_tags('tooltip')}} {{encore_entry_script_tags('yacht_quote_vue')}} {% endblock %}