Columbia Gulf Transmission Company

Second Revised Volume No. 1

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Effective Date: 11/01/1993, Docket: RS92- 6-005, Status: Effective

Original Sheet No. 378 Original Sheet No. 378 : Effective

REQUEST FOR SERVICE

BUYER/SHIPPER NAME OR ADDRESS CHANGE

COLUMBIA GAS TRANSMISSION CORPORATION

COLUMBIA GULF TRANSMISSION COMPANY

1. Changes are applicable to:

Rate Schedule Agreement No.

ALL

2. Identity of Requestor

Legal company name

Abbreviation or short name (if applicable)

Phone Number

Facsimile Number

ADDRESSES FOR AGREEMENT

MAILING

Street

City

State

Zip Code

Contact Person (Mr., Mrs., Miss, Ms.)

BILLING (if different than Mailing)

Street

City

State

Zip Code

Contact Person (Mr., Mrs., Miss, Ms.)