Williston Basin Interstate Pipeline Co.

Second Revised Volume No. 1

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Effective Date: 08/01/2005, Docket: RP05-431-000, Status: Effective

Third Revised Sheet No. 193A Third Revised Sheet No. 193A : Effective

Superseding: Second Revised Sheet No. 193A

GENERAL TERMS AND CONDITIONS (Continued)

 

7. AFFILIATED TRANSACTIONS COMPLIANCE PLAN AND SERVICE REQUEST

FORMS (Continued)

 

NOTICES: ____________________________________________

____________________________________________

____________________________________________

Attn: ____________________________________________

Telephone No.: ____________________________________________

Facsimile No.: ____________________________________________

Email Address: ____________________________________________

 

RIGHT OF FIRST REFUSAL NOTICE:

 

Email Address: ____________________________________________

 

2. Shipper Type (check as appropriate):

[ ] LDC

[ ] Interstate Pipeline

[ ] Intrastate Pipeline

[ ] End User

[ ] Producer

[ ] Marketer/Broker

[ ] Other (Specify)____________________________________

 

3. Request is for (check as appropriate):

 

a. [ ] New Transportation/Storage Service Agreement

b. [ ] Amendment to existing agreement

 

 

(The rest of this sheet has been intentionally left blank.)