Centerpoint Energy Gas Transmission Company
Sixth Revised Volume No. 1
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Effective Date: 03/18/2010, Docket: RP10-383-000, Status: Effective
Sixth Revised Sheet No. 697 Sixth Revised Sheet No. 697
Superseding: Fifth Revised Sheet No. 697
CENTERPOINT ENERGY GAS TRANSMISSION COMPANY
INFORMATION REQUIRED IN REQUEST FOR TRANSPORTATION
FOR WRITTEN:
Send Request To: CenterPoint Energy Gas Transmission Company (CEGT)
P. O. Box 1700
Houston, Texas 77210-1700
Attention: Contract Administration & Compliance
Telecopier: (713) 207-0721
The following information, as applicable, should be included in Shipper's request for service.
If Tariff requires electronic submission via the Internet, use CEGT's Internet Web Site to request and contract
for service.
1. TYPE OF SERVICE BEING REQUESTED:
New Service____________________ Amendment to Existing Service ____________
Contract Date ____________________________
Contract No. _____________________________
2. RATE SCHEDULE:
Transport
Rate Schedule FT (Firm)___________________ Rate Schedule PHS _____________________
Rate Schedule IT (Interruptible)__________ Park ________________________________
Rate Schedule SBS option__________________ Loan ________________________________
Rate Schedule PS ________________________ Park and Loan - NBS _________________
Rate Schedule RSS ________________________ Firm Wheeling ______________________
Rate Schedule FT-2________________________ Interruptible Wheeling ____________
Rate Schedule EFT _____________________
Storage
Rate Schedule FSS (Firm) ________ Rate Schedule ISS (Interruptible)______
3. CUSTOMER INFORMATION AND NOTICES:
A. SHIPPER/POOL MANAGER PERSON REQUESTING SERVICE
(Complete only if different from Shipper)
____________________________________ ________________________________________________
Company Name Name/Title
________________________________________ ________________________________________________
Address (include street address Company Name
for overnight deliveries)
___________/________/___________________ ________________________________________________
City State Zip Address
___________________ ____________________ ______________________/____________/____________
Phone Telecopier City State Zip
_____________________________________ _____________________ ______________________
Officer and Title (Signatory Party to Phone Telecopier
Contracts)
________________________________________
________________________________________
State of Incorporation
________________________________________