Nora Transmission Company

First Revised Volume No. 1

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Effective Date: 04/01/1994, Docket: CP93-568-002, Status: Effective

Original Sheet No. 300 Original Sheet No. 300 : Superseded

N.T. Request No. _____

NORA TRANSMISSION COMPANY

REQUEST FORM FOR

SERVICE UNDER

RATE SCHEDULES FTS AND ITS

I

Type of service requested: (check one)

___ Firm transportation service (FTS)

___ Interruptible transportation service (ITS)

II

(a) Requesting Party (Complete Legal Name of Customer): _______________

___________________________________________________________________

(b) Type of Legal Entity: __________________________________________

State of Incorporation: _______________________________________

(c) Customer is: (Check one of the below)

a. _____ Intrastate d. _____ End-User g. _____ Broker

b. _____ LDC e. _____ Producer h. _____ Other _____

c. _____ Hinshaw f. _____ Marketer