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Order Form
REDSTREAK ORDER FORM
Please provide the requested information to expedite your request.
Company
First Name
Last Name
Email
Phone Number (include Area Code)
I am authorized by my company to order REDSTREAK flatcars.
Yes
# REDSTREAKS Needed and Load Site
# of Redstreaks Required
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Select
Responsibility
Railroad
Car Owner
Other
Damaged Car#
Incident/ DDCT#
Incident Date
List additional damaged cars here with DDCT# and date.
Do you need load up assistance?
Select
Yes
No
Please provide the location information that you want the empty Redstreak flatcar to be sent to for waybill purposes.
Load Site City
Load Site State
Ship Redstreak to
General Foreman Mechanical at Load Site
other
Site Contact First Name
Site Contact Last Name
Site Contact Email
Site Contact Phone Number (include Area Code)
Load Site Address
Delivering Railroad
Tracking Options:
Receive Tracking Report
Daily
Weekly
Please provide the destination contact information if known at this time.
Shop Name
Shop Contact First Name
Shop Contact Last Name
Shop Address
Shop Contact Phone Number (include Area Code)
Shop Contact Email
Comments
Invoice Information:
Payment Responsibility*
Other
Car Owner or Industry (Rule 96/108)
Railroad (Rule 95/107)
Company
First Name
Last Name
Email
Phone Number (include Area Code)
Address
Additional Information
Send
