Claims 504 456 8584 | Service 504 456 8585 | Fax 504 454 3988
Name
Date Of Birth
Spouses Name
Spouses DOB
# and Street
City:
State
Zip:
Phone
Email
Boat Information:
Length:
Model:
Make:
Type:
Year:
Horsepower:
Type of motor
Trailer:
Yes
No
Value
$
Deductible:
$500
 $1,000
Boat Quote
Dan Burghardt Insurance

Office Locations
Canal St 504-821-3111 | Westbank 504-367-7283|Laplace 985-652-2000 | Kenner 504-455-7283
Metairie 504-455-7283

Services
Claims 504-456-8584 | Service 504-456-8585 | Fax 504-454-3988
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Welcome to Dan Burghardt Insurance
Contact us: 504-455-7283
or 1-888-376-6929