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: __________________________________