New clients, please provide the following:

Name:
Title:
Company:
Address:
City:
State:	Zip:
Phone:
Fax:
E-mail:
URL:

Shipper's Reference Number:

Shipper (name, complete address):

Consignee (name, complete address, AND fax number):

Notify party (name, complete address, AND fax number):

Ship via: Ocean Air

Freight: Prepaid Collect

Export license:

No License Required Export License Other:

License Number:

If Other, describe:

Terms of Sale:

Incoterm

Place or Port:

Terms of Payment: Cash in Advance Open Account Letter of Credit Documentary Collection

If Letter of Credit: Sent previously Sending via separate email Sending via courier

If Documentary Collection: Sight draft Time Draft

If Time Draft Days - After:

Bank Name and Address:

U.S. Loading port:

Foreign Port:

Shipping Marks:

Number and type of packages:

Description:

Gross Weight:

Dimensions or Total Cube:

Total Value:

Insurance: Insure with Carver's Open Marine Policy Prepare shipper's certificate Do not insure Effect contingency insurance

Which documents are you sending (Commercial Invoices, Packing Lists, Other), and by what means (mail, fax, courier, email)?

Distribute documents to: Consigneee Notify Party Bank Other

If other, distribution instructions:

Special Instructions:

Refer to Carver Estimate Number:

Enter text from image above into the box below: