Williston Basin Interstate Pipeline Co.
Second Revised Volume No. 1
Contents / Previous / Next / Main Tariff Index
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.