Kentucky West Virginia Gas Company

Third Revised Volume No. 1

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Effective Date: 07/01/1993, Docket: RS92- 18-004, Status: Effective

Original Sheet No. 300 Original Sheet No. 300 : Superseded

 

K.W. Request No. _____

 

 

 

KENTUCKY WEST VIRGINIA GAS COMPANY

REQUEST FORM FOR

SERVICE UNDER

RATE SCHEDULES FTS AND ITS

 

 

I

 

 

Type of service requested: (check one)

 

 

___ Firm transportation service (FTS) with gathering

 

without gathering

 

 

___ Interruptible transportation service (ITS) with gathering

 

without gathering

 

 

 

II

 

(a) Requesting Party (Complete Legal Name of Customer): _______________

 

___________________________________________________________________

 

(b) Type of Legal Entity: __________________________________________

 

State of Incorporation: _______________________________________

 

(c) Customer is: (Check one of the below)

 

a. _____ Intrastate d. _____ End-User g. _____ Broker

 

b. _____ LDC e. _____ Producer h. _____ Other _____

 

c. _____ Hinshaw f. _____ Marketer