U S G Pipeline Company

ORIGINAL VOLUME NO. 1

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Effective Date: 04/01/2000, Docket: CP99-211-001, Status: Effective

Original Sheet No. 94 Original Sheet No. 94 : Effective

 

SERVICE REQUEST FORM

 

4. Name of Shipper's contact, address and telephone number through which

correspondence of the following should be directed:

 

Contact For Request:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

 

Contact for Notices:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

 

Contact For Invoices:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

5. If Shipper is requesting service on behalf of another entity, please

specify the full legal name of such entity and type of entity.

 

______________________________________________________________________

 

(Transporter reserves the right to require proof that Shipper's request meets

the requirements of the applicable Commission Regulations.)