Request for Donation
Please fill out electronically and return to Assetdispo@nscorp.com
with the subject “Request for Donation”.
Ensure that form is filled out in its entirety and all other requested information is provided in return email.
Organization Information
Name of Organization
Organization Description
Street Address
City, State, Zip
Contact Name
Position or Title
Phone Number
Fax Number
Email Address
Donation Information
Type of Material
Rail
Furniture
Railcars
Ties
Approximate Dimensions of Material
Cabooses
Signal Material
L
Please provide a brief description of material.
W
Other
H

Exact Location of Material
Street Address
City, State, Zip
Nearest Cross Streets
How will the donated material be used? and
Approximately what date is the donation needed by?
Day Month Year
Additional Information to Include
In addition to filling out this document in its entirety, please include the following information at time of submission:

Picture of material being requested

Proof of non-profit status or tax exemption (Letter from IRS and 501c3) o If request is being made by a for profit organization or individual, please explain below.
Disclaimers

Donation recipient is solely responsible for pickup and transport of donated material within 60 days of contract approval. If removal does not take place within this timeframe, we reserve the right to cancel the donation contract. Pickup must be coordinated with field personnel.

Norfolk Southern is committed to the safety of its employees and its community. Request of picture and approximate dimensions does not grant right of entry onto Norfolk Southern property. If pictures and dimensions cannot be obtained safely and legally, please contact Manager of Asset Disposition so we can assist with this process.

When job is completed, an email must be sent to the Manager of Asset
Disposition at Assetdispo@nscorp.com
with subject line “Donation
Pickup”. Failing to do so will result in revocation of donation privileges.