Black Marlin Pipeline Company
First Revised Volume No. 1
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Effective Date: 09/11/2000, Docket: RP00-457-000, Status: Effective
First Revised Sheet No. 317 First Revised Sheet No. 317 : Superseded
Superseding: Original Sheet No. 317
BLACK MARLIN PIPELINE COMPANY
APPLICATION FOR
BMP ELECTRONIC BULLETIN BOARD SERVICE
Reimbursement Fees
Platform License $84.00
ReachOut Software License and Diskette 51.61
Total Due BMP-Non-Texas Locations 135.61
Texas Sales Tax @ 8.25% for Texas Locations 11.19
Total Due BMP-Texas Locations $146.80
Make checks or money orders payable to:
BLACK MARLIN PIPELINE COMPANY
User Information
Name: __________________________________________
Company: _______________________________________
Address: _______________________________________
City __________________ County: ________________
State: ________________ Zip: ___________________
Telephone: (____) ______________ Ext: __________
Fax: (_____ ___________
Please identify your classification on Black Marlin’s Pipeline
(Circle all that apply)
Shipper Operator Marketing Affiliate Marketer Other _____________
Equipment Information
PC Type (ex: Compaq Deskpro 33M): ___________________
Modem Type (ex: US Robotics Courier v .32) _______________
By signing below I hereby apply to BMP for Electronic Bulletin Board Service (acknowledging that I
have read and signed the attached agreement). I understand that a logon id along with the
ReachOut software will be sent upon processing of this application and receipt of the
reimbursement fees.
AUTHORIZED SIGNATURE: ___________________________ DATE: ____________
Mail completed application, signed agreement and check or money order for reimbursement fees to:
BLACK MARLIN PIPELINE COMPANY
ATTN: G. Brian Lloyd
801 Travis, Suite 2100
HOUSTON, TX 77002
PHONE (713) 227-7660
NOTE: Application will not be processed without signed agreement and check or money order for
reimbursement fees.
FOR INTERNAL USE ONLY – Do not Write Below this Line
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Assignments
BMP EBB Administrator ________________ Date __________________
Network ID ______________________ Password ____________________
Software Package Sent Out By ___________________ Date _________
Setup Completed By:
Help Desk ____________________________ Date ___________________
LAN Adm ______________________________ Date ___________________