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Revised Original Sheet No. 421 Revised Original Sheet No. 421 : Superseded

 

 

RELEASED CAPACITY SERVICE

REQUEST FORM

(continued)

 

3. Type of company:

 

__________ Local Distribution Company

__________ Intrastate Pipeline

__________ Interstate Pipeline

__________ Producer

__________ End-User

__________ Marketer/Broker

__________ Other (fill in) ___________________________

 

 

4. Name of individual authorized by Bidding Shipper to submit this

 

Request, and the address and telephone number through which

 

correspondence for the following should be directed:

 

Contact for Request:

 

______________________________________

 

______________________________________

 

______________________________________

 

Contact for Notices:

 

______________________________________

 

______________________________________

 

______________________________________