Williston Basin Interstate Pipeline Co.
Second Revised Volume No. 1
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Effective Date: 07/01/2002, Docket: RP00-463-004, Status: Effective
First Revised Sheet No. 207A First Revised Sheet No. 207A : Effective
Superseding: Original Sheet No. 207A
GENERAL TERMS AND CONDITIONS (Continued)
7. AFFILIATED TRANSACTIONS COMPLIANCE PLAN AND SERVICE REQUEST
FORMS (Continued)
7.7.1 The following Discount Request Form must be completed in
full by any Shipper requesting discounted firm alternate or
segmented transportation service. Shipper shall indicate "N/A" on
all nonapplicable questions. Incomplete requests will not be
accepted:
DISCOUNT REQUEST FORM FOR FIRM ALTERNATE/SEGMENTED TRANSPORTATION SERVICE
FROM: Name: _____________________________________________
Company: __________________________________________
Firm Transportation Contract No.: _________________
Telephone No.: ___________________________________
Facsimile No.: ____________________________________
Email Address: ____________________________________
TO: Williston Basin Interstate Pipeline Company
Attention: Contracts
Facsimile No: (701) 530-1698
1) Shipper requests the following discounted Firm Transportation
Service pursuant to Section 12.6.2 of the General Terms and Conditions:
Rate: ___________ cents/eqv. dkt Term of Rate: ________________
Initial Primary Receipt and/or Delivery Point: ___________________
Alternate or Segmented Receipt and/or Delivery Point: ____________
Other Conditions (if any):________________________________________
Requested by: ______________________ Date: ______________________
Confirmation of discounted rate request by Transporter
[]Accepted Effective ______________
[]Rejected
By: ______________________________ Date: _______________________