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First Revised Sheet No. 317 First Revised Sheet No. 317 : Superseded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

===============================================================================

Assignments

BMP EBB Administrator ________________ Date __________________

 

Network ID ______________________ Password ____________________

 

Software Package Sent Out By ___________________ Date _________

 

Setup Completed By:

 

Help Desk ____________________________ Date ___________________

 

LAN Adm ______________________________ Date ___________________