Iroquois Gas Transmission System, L.P.
FIRST REVISED VOLUME NO. 1
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Effective Date: 12/14/2006, Docket: RP07- 65-000, Status: Effective
Ninth Revised Sheet No. 181 Ninth Revised Sheet No. 181 : Effective
Superseding: Eighth Revised Sheet No. 181
SERVICE REQUEST FORM FOR
IROQUOIS GAS TRANSMISSION SYSTEM, L.P.
Any party requesting Gas Transportation Service, Hub
Service or Park and Loan Service on Transporter's system must
complete a Service Request Form in keeping with Section 3 of
the General Terms and Conditions of Transporter's currently
effective FERC Gas Tariff.
Completed Service Request Forms shall be forwarded to:
Marketing, Development & Commercial Operations
Attn: Contract Administration
Iroquois Gas Transmission System, L.P.
c/o Iroquois Pipeline Operating Co.
One Corporate Drive, Suite 600
Shelton, CT 06484
Fax: 203-925-7296
No request for service shall be considered until a
completed Service Request Form is received by Transporter.
1. Type of Service (check one): ___ RTS ___ ITS
___ HUB ___ PALS
Potential Capacity Replacement: complete only sections 8
through 10 and submit with a Blanket Capacity Release Form.
2. (a) Percentage of Maximum Rate Shipper is willing to
pay (Applicable to RTS Service Only): ___%
or (b) Negotiated Rate or Rate Under Negotiated Rate Formula
Shipper is willing to pay (Applicable to RTS and ITS Service
Only): _____________
3. Date Service is Requested to Commence: _________________
4. Date Service is Requested to Terminate: ________________
5. Requesting Party (Complete Legal Name):
_______________________________________________________
(a) Type of Legal Entity: __________________________
(b) State of Incorporation: ________________________
(c) Shipper is (Check one):
____ Interstate pipeline ____ Intrastate pipeline
____ Hinshaw pipeline ____ LDC
____ End-User ____ Producer
____ Marketer ____ Broker
____ Other (specify): _____________________________________________
(d) DUNS number: __________________________________