Southern Star Central Gas Pipeline, Inc.

Original Volume No. 1

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Effective Date: 05/01/2003, Docket: RP03-352-000, Status: Effective

Original Sheet No. 481 Original Sheet No. 481 : Superseded

 

SERVICE REQUEST FORM

 

 

8. Requested Term of Service:

 

Initial Delivery Date__________________

 

Termination Date __________________

 

9. Address for Billing: Address For Notices:*

 

_______________________________ ________________________________

 

_______________________________ ________________________________

 

_______________________________ ________________________________

 

Attn: (Prefer Title)__________ Attn: (Prefer Title)___________

 

Telephone No.__________________ (*Please include a street

address

 

Fax No.________________________ for Federal Express

correspondence.)

Telephone No.___________________

 

Fax No._________________________