Hardy Storage Company, LLC

Original Volume No. 1

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Effective Date: 04/01/2007, Docket: CP05-150-003, Status: Effective

Original Sheet No. 218 Original Sheet No. 218 : Effective

 

REQUEST FOR SERVICE

CUSTOMER NAME OR ADDRESS CHANGE

HARDY STORAGE COMPANY, LLC

 

1. Changes are applicable to:

 

Rate Schedule Agreement No. __________

 

ALL ___________

 

2. Identity of Requestor

 

Legal company name _______________________________________________

 

_______________________________________________

 

Abbreviation or short name (if applicable) ________________________

 

Phone Number _______________________________________________

 

Facsimile Number _______________________________________________

 

ADDRESSES FOR AGREEMENT

 

MAILING

 

Street _____________________________________________________

 

City _____________________________________________________

 

State _____________________________________________________

 

Zip Code _____________________________________________________

 

 

Contact Person (Mr., Mrs., Miss, Ms.) _____________________________

 

BILLING (if different than Mailing)

 

Street _____________________________________________________

 

City _____________________________________________________

 

State _____________________________________________________

 

Zip Code _____________________________________________________

 

 

Contact Person (Mr., Mrs., Miss, Ms.) _____________________________