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: