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: _______________________