Venice Gathering System, L. L. C.

Original Volume No. 1

 Contents / Previous / Next / Main Tariff Index

 

 

Effective Date: 01/01/1998, Docket: CP97-533-002, Status: Effective

Original Sheet No. 71 Original Sheet No. 71 : Effective

 

 

GENERAL TERMS AND CONDITIONS

(Continued)

 

If yes, list the name of the supplier and the extent

of affiliation with VGS.

 

__________________________________________________

 

2. Requesting Party's Name: _________________________

(if different than Customer)

 

3. Customer Contacts:

 

Notices Invoicing Nominations

Name: ___________ _________________ ___________

Title: ___________ _________________ ___________

Street ___________ _________________ ___________

Address: ___________ _________________ ___________

Mailing ___________ _________________ ___________

Address: ___________ _________________ ___________

Telephone:___________ _________________ ___________

Fax: ___________ _________________ ___________

E-mail: ___________ _________________ ___________

 

24-Hour Contact: _________Telephone: ________________

Internet Address: ___________________________________

 

SERVICE INFORMATION

 

4. Request is for:

 

_____ New Service

 

_____ Amendment to Agreement No. ______________

 

5. Service Authority:

 

_____ NGPA Section 311 Service

 

_____ NGA Section 7(c) Blanket Authority (Part 284)