Customer Information Form

New Customer Information Form

"*" indicates required fields

Legal Company (Entity) Name:*

Physical Street Address of (Rail) Facility:*

Main Phone Number:*

Physical City, State & Zip:*

Days & Hours of Operation:

Company's State of Incorporation:*

CIF ID:

Website:*

Recent Press Release:

Please attach a Google Maps image of your location

Accepted file types: jpg, png, Max. file size: 50 MB.

Previous Owner of Facility (if applicable):

Previous Business Operation (if applicable):

Project Start Date:

Expected First Shipment Date:

Accounts Payable Information

Name/Department for Freight Bills*

Office Number:

Billing Address:*

Mobile Number:

City, State & Zip:*

Email Address:*

CIF ID:

Name/Department for Supplemental Bills*

Office Number:

Billing Address:*

Mobile Number:

City, State & Zip:*

Email Address:

CIF ID:

Operational Information & Local Contact Information

Name of Primary Local Contact:*

Office Number:*

Job Title:*

Mobile Number:*

Mailing Address:*

Email Address:*

City, State & Zip:*

Will this person need RCI/eBOL?*

Name of Secondary Contact

Office Number:

Job Title:

Mobile Number:

Mailing Address:

Email Address:

City, State & Zip:

Will this person need RCI/eBOL?

Plant Capacity in Railcars : (please specify capacity per track, if more than one track at this location)

Commodities/STCC Codes:

Car Types:

Which carrier(s) will traffic be coming from?

Annual Anticipated Carload Volume

Systems and Notifications

If any others need RCI (releasing empty cars)/eBOL (billing loaded cars), please list their name, email address and phone number here:*

List names and email addresses of those who need Constructive Placement notifications:*

Are there any daily, weekly, monthly or yearly reports you need? IE inventory, placement/release/pull history, etc.*

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