Elba Express Company, L.L.C.

Original Volume No. 1

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Effective Date: 03/01/2010, Docket: RP10-342-000, Status: Effective

Original Sheet No. 129 Original Sheet No. 129

APPENDIX F

SERVICE REQUEST FORM

(PARK AND LOAN)

Elba Express Company, L.L.C.

P.O. Box 2563

Birmingham, Alabama 35202-2563

Attention: Customer Services Department

Re: ______ New PAL Service

or

______ Modification or Extension of Existing PAL Service

Description of existing service to be modified:

________________________________________________

________________________________________________

________________________________________________

Gentlemen:

The Shipper listed below hereby requests Park and/or Loan service(s) from Elba Express Company, L.L.C. (EEC)

and is providing EEC the following information in connection with this request:

1. Shipper's full legal name: _______________________________________

Dun and Bradstreet number: _______________________________________