Centerpoint Energy Gas Transmission Company
Sixth Revised Volume No. 1
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Effective Date: 09/01/2005, Docket: RP05-513-000, Status: Effective
Second Revised Sheet No. 724 Second Revised Sheet No. 724 : Effective
Superseding: First Revised Sheet No. 724
FORM OF CREDIT APPLICATION
CENTERPOINT ENERGY GAS TRANSMISSION COMPANY
("CEGT")
C R E D I T A P P L I C A T I O N
General Information
___________________
Applicant's Legal
Name___________________________________________________________
Mailing Address________________________________________________
City, State, Zip Code _________________________________________
Contact Person_____________________Telephone No. (____)________
E-mail:_______________________________________________________
Business Entity: __ Corporation __ Partnership __ Other_____
Type of Business:__Producer__Marketer__End User__LDC __Other___
List parent corporation (if Applicant is a subsidiary company)
or general Partners (if Applicant is a partnership) ___________
_______________________________________________________________
Applicant must designate up to two (2) representatives who are authorized to
receive notices regarding Applicant's creditworthiness, and provide Internet
e-mail addresses of such representatives, prior to the initiation of service.
Pre-qualifying for Capacity Release? Yes _____ No _____
Authorized Representatives:
Name: ____________________________ Name: ____________________________
Address: _________________________ Address: _________________________
_________________________ _________________________
_________________________ _________________________
Telephone:________________________ Telephone:________________________
Internet e-mail:__________________ Internet e-mail:__________________
Bank Reference (or other financing source):
Bank Name __________________________ Bank Account No. _________
Address ___________________________ Telephone No. (____)_______
City, State, Zip Code _________________________________________
Trade References (please provide three)
Company Name ______________ Company Name __________ Company Name __________
Address ___________________ Address _______________ Address _______________
___________________ _______________ _______________
Contact ___________________ Contact _______________ Contact _______________
Phone (____)_______________ Phone (____)___________ Phone (____)___________