Nautilus Pipeline Company, LLC
Original Volume No. 1
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Effective Date: 04/05/2010, Docket: RP10-475-000, Status: Effective
Third Revised Sheet No. 326A Third Revised Sheet No. 326A
Superseding: Second Revised Sheet No. 326A
EXHIBIT "B"
INTERACTIVE INTERNET WEBSITE ACCESS REQUEST FORM
SHIPPER (Complete Legal Name)________________________________________________
Mailing Address: ___________________________________________________________
City: ____________________________ State: ___________________ Zip:___________
DUNS No.: ____________________________ Federal Tax ID No.: __________________
Authorized Employee's/Agent's Full Name: _________________________________
Email Address: __________________________________________________________
Authorized Employee's/Agent's Employer: __________________________________
Mailing
Address:______________________City:________________State:_________Zip:_______
Phone No.: _________________________ Fax No.: ___________________________
Indicate Update Capabilities for this Authorized Employee/Agent:
_____ Execute Contracts, Amendments and Accept Discounts
_____ Make Imbalance Elections/Trades
_____ Request New Service, Amendments and Discounts
_____ Receive and administer the payment of any and all invoices
_____ Submit Capacity Release Offers, Bids, Recall and Reput
_____ Submit Confirmations, PDAs, Storage Transfers
_____ Submit Nominations and Storage Transfers
_____ View only access to Interactive Internet Website screens, email,
web page and reports for SHIPPER will be available to SHIPPER'S
authorized employees
Signed by SHIPPER'S Authorized Employee/Agent:
__________________________________________________ Date: ________________
Approved by Shipper:____________________________________________
Title: ___________________________________________ Date: ___________________
FOR INTERNAL USE ONLY
Nautilus Pipeline Company, L.L.C.
_____________________________________________________________________________
_____________________________________________________________________________
USER ID: ______________________________ Shipper# (if no DUNS): ______________
Security approved by:___________________ Date: _____________________________
PLEASE FAX COMPLETED FORM TO (832) 214-5791