Scg Pipeline Inc.

Original Volume No. 1

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Effective Date: 11/01/2003, Docket: RP03-611-000, Status: Effective

Original Sheet No.250 Original Sheet No.250 : Superseded

 

 

REQUEST FORM FOR

CAPACITY RELEASE AGREEMENT

 

 

SCG Pipeline, Inc.

P.O. Box 102407

Columbia, SC 29224-2407

 

 

 

Attention: Transportation Service Department

 

 

To Whom It May Concern:

 

___________________ (Bidder) wishes to bid on capacity offered by SCG

Pipelines, Inc. (“Pipeline”) for release on temporary basis pursuant to GT&Cs

Section 10 of Pipeline’s Tariff. Bidder recognizes that a condition for

bidding on such released capacity is its entering into a Capacity Release

Service Agreement applicable to the firm transportation on which it wishes to

bid. In this regard Bidder is providing Pipeline with the following

information:

 

1. Type of Capacity Release Service Agreement requested:

____FT

 

2. Full legal name of Bidder, type of legal entity and, if corporation,

state of incorporation:

 

____________________________________

____________________________________

____________________________________

 

3. Contact person, address, email and telephone number for Bidder in areas

of responsibility shown below, a 24-hour telephone number, three contact

persons for Bidder for emergencies, email addresses and a facsimile machine

number (if available):

 

 

General Notices and Correspondence:

 

______________________________________

______________________________________

______________________________________

 

Dispatching Notices:

 

Nominations/Confirmations

 

___________________________________________

___________________________________________

___________________________________________