Western Gas Interstate Company

Third Revised Volume No. 1

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Effective Date: 06/01/1993, Docket: RS92- 53-003, Status: Effective

Revised Original Sheet No. 420 Revised Original Sheet No. 420 : Superseded

 

RELEASED CAPACITY SERVICE

REQUEST FORM

 

 

 

Western Gas Interstate Company

504 Lavaca, Suite 950

Austin, TX 78759-78701

 

Attention: Transportation and Exchange Services

 

 

 

Re: Released Capacity Service - Rate Schedule RCS

 

Gentlemen:

 

________________________________ ("Bidding Shipper") hereby requests

 

approval from Western Gas Interstate Company ("Western") to

 

participate as a Bidding Shipper pursuant to Western's Released

 

Capacity Service and any firm transportation service resulting

 

therefrom, and concurrently provides the following information in

 

connection with this request:

 

 

1. Complete legal name and address of Bidding Shipper:

 

_______________________________________________________

 

_______________________________________________________

 

_______________________________________________________

 

_______________________________________________________

 

 

2. Type of legal entity and state of incorporation:

 

_______________________________________________________