Gulf South Pipeline Company L P

Sixth Revised Volume No. 1

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Effective Date: 05/14/2010, Docket: RP10-601-000, Status: Effective

Second Revised Sheet No. 4803 Second Revised Sheet No. 4803

Superseding: First Revised Sheet No. 4803

 

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EXHIBIT "A"

 

GULF SOUTH PIPELINE COMPANY LP ("Gulf South")

 

INTERNET USERID/PASSWORD REQUEST FORM

 

TYPE OF REQUEST: ADD NEW USER_____ Change USERID_____ Delete USERID_____

 

Applicant Proprietary Data Rights: UPDATE ONLY_____ VIEW ONLY_____

 

Company:____________________________________________________________________________________

 

Company DUNS Number:________________________________________________________________________

 

 

Address:____________________________________________________________________________________

 

City, State, and Zip Code:__________________________________________________________________

 

EMPLOYEE (Applicant) NAME:__________________________________________________________________

(PLEASE PRINT)

 

WORK PHONE:_________________________________________FAX:____________________________________

 

 

E-mail Address:___________________________________________________________________________

 

 

 

 

 

 

It is recognized that the userid and password ("USERIDS") established to access password protected

portions of the Internet Web Site are confidential and are to be used solely by the Applicant

hereto. Applicant agrees to keep USERIDS confidential. Applicant agrees to promptly notify Gulf

South if there is any indication that a security breach has occurred with regard to their USERIDS.

Applicant agrees to contact Gulf South in regard to any change in job status where access to

password protected information is no longer necessary or if Applicant ceases to be employed by the

Company referenced above. Such notification shall be made to technical support immediately by

telephone and shall be followed by written notification within five (5) business days. Gulf South

may terminate any USERIDS, which Gulf South believes in its reasonable judgment to be used in an

inappropriate manner.

 

This Exhibit "A" is associated with the Internet Web Site Customer Agreement dated ____________

between Customer and Gulf South and is subject to the complete terms and conditions thereof.

 

APPLICANT'S SIGNATURE: ____________________________________ DATE: ______________

 

 

RETURN TO: GULF SOUTH PIPELINE COMPANY LP

Attn: Quantium Technical Support

P O BOX 1478

HOUSTON, TX 77251-1478

FAX# (713) 479-1852