Gulf States Transmission Corporation
Original Volume No. 1
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Effective Date: 12/26/2005, Docket: RP06-138-000, Status: Effective
Original Sheet No. 84 Original Sheet No. 84 : Effective
Gulf States Transmission Corporation
Customer Activities User Access Request
Company/Subscriber:__________________________________________________________
Address: ____________________________________________________________________
City: ________________________ State: ________________ Zip: _________________
User Name: ___________________ Phone: ________________ Fax: _________________
Cell: _________________ Pager: ________________
Email: ________________________________________
ADD: CHANGE: DELETE:
Circle the utilization level for this user below:
Shipper: Yes No
Shipper – Read Only: Yes No
Point Operator: Yes No
List points for which authorization is requested:
1.
2.
3.
4.
5.
By execution of this Customer Activities User Access Form, Company/Subscriber represents
and warrants to Gulf States Transmission Corporation that the individual user designated
above is authorized to conduct, on behalf of Company/Subscriber, the transactions and
activities identified above, as well as those outlined in the applicable System License
Agreement
Approved by: Date:
Name:
Title: