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

First Revised Sheet No. 207A.01 First Revised Sheet No. 207A.01 : Effective

Superseding: Original Sheet No. 207A.01

GENERAL TERMS AND CONDITIONS (Continued)

 

7. AFFILIATED TRANSACTIONS COMPLIANCE PLAN AND SERVICE REQUEST

FORMS (Continued)

 

7.8 The following Discount Request Form, consisting of two pages, must

be completed in full by any Shipper requesting discounted PAL service.

Shipper shall indicate "N/A" on all nonapplicable questions. Incomplete

requests will not be accepted:

 

DISCOUNT REQUEST FORM FOR PAL SERVICE

 

FROM: Name: _____________________________________________

Company: __________________________________________

PAL Contract No. __________________________________

Telephone No.: ___________________________________

Facsimile No.: ____________________________________

 

TO: Williston Basin Interstate Pipeline Company

Attention: Contracts

Facsimile No: (701) 530-1698

 

Shipper requests the following discounted PAL Service:

 

Rate: _____________ cents/dkt Term of Rate: ____________________

OBA Point: _______________________________________________________

[ ] Total quantity to be parked: ___________________________

[ ] Total quantity to be loaned: ___________________________

[ ] Extended holding period Park/Loan quantity: ____________

Other Conditions (if any):________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

Shipper elects to

[ ] Change the Transportation/Storage Contract(s) associated with

executed PAL Service Agreement:

Transportation Contract #: ______________________________________

Storage Contract #: _____________________________________________

Effective Date: _________________________________________________

 

All discount requests must be accompanied by an economic evaluation

justifying the rate requested. This written modification of the Service

Agreement shall affect the rate provisions of the Service Agreement

only. All other provisions in the Service Agreement shall remain in

effect.