Great Lakes Gas Transmission Limited Partner
Second Revised Volume No. 1
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Effective Date: 11/30/2009, Docket: RP10-100-000, Status: Effective
Sixth Revised Sheet No. 50P Sixth Revised Sheet No. 50P
Superseding: Fifth Revised Sheet No. 50P
GENERAL TERMS AND CONDITIONS
____________________________
(continued)
GLConnect User Access Request Form
(Use one form for each Authorized Person)
Date: ________________________
Subscriber (Company)Name:_________________________________________________________
Authorized Person's (User) Name:
First ____________________________________________________
Middle Initial _____________
Last _____________________________________________________
Address: _______________________________________
_______________________________________
_______________________________________
Phone number: ( )____________________
Fax number: ( )______________________
E-mail Address:____________________________
IM (instant messaging) Address: _______________________________
Please indicate which of the following Contact Types the Authorized Person (User) would like to be
listed as:
_____ Receive Noms Batch Reporting _____ Receive Market Batch Reporting
_____ Receive Invoice E-mail _____ Receive Supply Batch Reporting
Please indicate which of the following Business Functions the Authorized Person (User)is permitted to
perform:
_____ Nominate _____ Release Capacity
_____ Confirm _____ Bid on Released Capacity
_____ View Imbalance Statements _____ Bid on GL Capacity
_____ View Supply Reports _____ On-Line Execution for
_____ View Market Reports Great Lakes Transportation
_____ View Invoices _____ On-Line Execution for Capacity Release
Authorized Person's (User) Signature: _________________________________
Approval Signature*:______________________________
Print Name:_________________________________________
Print Title:________________________________________
Date: _____________________________________________
* Great Lakes will accept the signature of the party who executed the GLConnect Agreement. Great
Lakes will also accept the signature of an individual other than the party who executed the
GLConnect Agreement, however, this individual must have the level of authority necessary to
execute the GLConnect Agreement. The signature of an individual other than the party who executed
the GLConnect Agreement signifies that this individual has read the GLConnect Agreement and agrees
to its terms.
Fax to Great Lakes at (832) 320-5677; Attn: Commercial Services
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INTERNAL USE ONLY
Username _______________________________________
Password _______________________________________