Viking Gas Transmission Company

Original Volume No. 1

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Effective Date: 06/01/1991, Docket: GT91- 25-000, Status: Effective

First Revised Sheet No. 160 First Revised Sheet No. 160 : Superseded

Superseding: Original Sheet No. 160

 

 

TRANSPORTATION SERVICE REQUEST FORM

 

 

Viking Gas Transmission Company

P.O. Box 2511

Houston, Texas 77252

 

Attention: Director of Marketing and Transportation Services

 

Re: Transportation Service on _____ New Service _____ Firm

Viking Gas Transmission _____ Modification of Service _____ Interruptible

Company under Contract No. _____

 

Gentlemen:

 

 

___________________________ (Shipper) hereby requests transportation service on Viking Gas

Transmission Company (Viking) 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

_________________ Other (fill in)