El Paso Natural Gas Company

Second Revised Volume No. 1A

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Effective Date: 04/01/2010, Docket: RP10-454-001, Status: Effective

Fifth Revised Sheet No. 219C Fifth Revised Sheet No. 219C

Superseding: Fourth Revised Sheet No. 219C

 

TRANSPORTATION GENERAL TERMS AND CONDITIONS

(Continued)

 

4. REQUESTS FOR SERVICES

 

4.10 Transportation Service Request Form

 

EL PASO NATURAL GAS COMPANY

 

TRANSPORTATION SERVICE REQUEST FORM

 

____________________________________________________________________________

Shippers may request transportation service using the electronic execution of

agreements procedures of this Tariff. Alternatively, Shippers may submit a

request for service in writing by furnishing El Paso the following

information.

 

Return this completed FORM to:

 

Marketing Department

El Paso Natural Gas Company

Post Office Box 1087

Colorado Springs, CO 80944

Telecopy: (719)520-4878

____________________________________________________________________________

(PLEASE TYPE OR PRINT)

 

SHIPPER INFORMATION

 

1. Legal Name of Shipper: ________________________________________

 

2. Shipper's Address: P.O. Box/Zip ______________________________

Street/Zip ___________________________

City/State ___________________________

 

3. Shipper's State of Incorporation: _____________________________

 

4. Duns Number: __________________________________________________

 

5. Name of Requesting Party: _____________________________________

Title: ________________________________________________________

Phone: ________________________________________________________

 

If employed by other than Shipper, please specify Requesting Party's:

Company Name __________________________________________________

P.O. Box/Zip __________________________________________________

Street/Zip ____________________________________________________

City/State ____________________________________