Equitrans, L. P.

Original Volume No. 1

 Contents / Previous / Next / Main Tariff Index

 

 

Effective Date: 05/16/2010, Docket: RP10-616-000, Status: Effective

Second Revised Sheet No. 503 Second Revised Sheet No. 503

Superseding: First Revised Sheet No. 503

 

EQUITRANS, L.P.

625 Liberty Avenue, Suite 1700

Pittsburgh, PA 15222-3111

 

APPALACHIAN GATHERING SERVICE

REQUEST FORM

 

 

1. REQUESTOR'S IDENTIFICATION:

 

Company Name: ______________________________________________________

 

Address: ___________________________________________________________

 

___________________________________________________________

 

Billing Address(if different from above): __________________________

 

____________________________________________________________________

 

Contact Person: __________________________Telephone:________________

 

 

2. CUSTOMER'S IDENTIFICATION (if different from above):

 

Company Name: ___________________________________________________________

 

Address: ___________________________________________________________

 

___________________________________________________________

 

 

Billing Address(if different from above): __________________________

 

____________________________________________________________________

 

Contact Person: __________________________Telephone:________________

 

 

3. CUSTOMER IS (please check those which apply):

 

Interstate Pipeline _____ Intrastate Pipeline _____

 

Local Distribution Co _____ Producer _____

 

Marketer _____ End User _____