Hunting Club Insurance > Hunting Lease Insurance > Hunt Club Insurance

Policy Information Confirmation Payment

Insurance Information (click here for details)

Fields marked with an * are required

Note: Please do not use your browsers back button as it will result in the loss of data. You will be able to edit everything about the policy, owners and insured party on the confirmation screen.

Lands that are subleased or used for commercial hunting activities are not eligible for coverage in this program.

Premiums are 100% earned at the time of purchase and can not be pro-rated for policies canceled midterm.

Please provide your email address

Please provide your email address:

Please select member type

I am the hunter (lessee)

I am the landowner (lessor)

Policy Information

Please select the state the property is located in.

Please select the county the property is located in.

Additional states / counties property is located in

Please enter the total acres of the leased property, numbers only and rounded to nearest whole acre

Total acres of leased property * Round to nearest whole acre

Please select the policy term

Select Master Policy Term *

Please select the number of landowners

Please select the number of landowners (exclude yourself) (if any)

Name, address, business name and hunting club name are limited to 63 characters.

Insured Information

Hunting club name

Please enter the contact first name

Contact First Name *

Please enter the contact last name

Contact Last Name *

Please enter the insured's mailing address

Mailing Address *

Please enter the insured's city

City *

Please enter the insured's state

State *

Please enter the insured's 5 digit zipcode

Zipcode *

Please enter phone including area code xxx-xxx-xxx format

Work phone with areacode

Please enter phone including area code xxx-xxx-xxx format

Home phone with areacode

Please enter fax including area code xxx-xxx-xxx format

FAX with areacode

Please select the number of additional hunt club members (hunters)

Landowner Information

Please enter the landowner's first name

Landowner First Name *

Please enter the landowner's last name

Landowner Last Name *

Business name

Please enter the landowner's mailing address

Mailing address *

Please enter the landowner's city

City *

Please enter the landowner's state

State *

Please enter the landowner's 5 digit zipcode

Zipcode *

Please enter phone including area code xxx-xxx-xxx format

Work phone with areacode

Please enter phone including area code xxx-xxx-xxx format

Home phone with areacode

Please enter fax including area code xxx-xxx-xxx format

FAX with areacode

Please check whether the acreage is jointly owned or not