Carolina Gas Transmission Corporation

Original Volume No. 1

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Effective Date: 11/01/2006, Docket: CP06- 71-001, Status: Effective

Original Sheet No. 424 Original Sheet No. 424 : Effective

 

 

EXHIBIT A

 

AGENCY AUTHORIZATION AGREEMENT

 

Dated _____________

 

I. AGENT INFORMATION

 

Legal Name:______________________________________

 

D-U-N-S® No.:___________________________

 

Mailing Address:

 

_________________________________________________________________

 

_________________________________________________________________

 

_________________________________________________________________

 

Contact Name & Title: ___________________________________________

 

Phone: ____________________ Facsimile: __________________

 

E-mail address: _________________________________________________

 

For Point Operator:

 

Emergency Contact Name & Title: _________________________________

 

Phone: ____________________ Facsimile: __________________

 

E-mail address: _________________________________________________

 

 

II. SPECIFIC UNDERLYING AGREEMENTS: