Tennessee Gas Pipeline Company

FIFTH REVISED VOLUME NO. 1

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Effective Date: 10/01/2009, Docket: RP09-998-000, Status: Effective

First Revised Sheet No. 513A First Revised Sheet No. 513A

Superseding: Original Sheet No. 513A

 

SERVICE REQUEST FORM

(PARK AND LOAN)

 

 

 

Tennessee Gas Pipeline Company

P. O. Box 2511

Houston, Texas 77252-2511

 

Attention: Director of Transportation Services

 

Re: ________ New Service

 

or

 

________ Modification of Existing Service

(Description of existing service to be modified:

 

________________________________________________

 

________________________________________________

 

________________________________________________

 

 

Gentlemen:

 

____________________________(Shipper) hereby requests Park and/or Loan service(s) from

Tennessee Gas Pipeline Company (Tennessee) and concurrently provides the following

information in connection with this request:

 

1. Complete legal name of Shipper:

 

_______________________________________________________________________________

 

2. Type of legal entity and state of incorporation:

 

_______________________________________________________________________________

 

_______________________________________________________________________________

 

3. Type of company:

 

_______________ Local Distribution Company

 

_______________ Intrastate Pipeline

 

_______________ Interstate Pipeline

 

_______________ Producer

 

_______________ End-User

 

_______________ Marketer

 

_______________ Broker

 

_______________ Pipeline Sales Operating Unit

 

_______________ Other (fill in)