Arlington Storage Company, LLC

Original Volume No. 1

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Effective Date: 08/24/2009, Docket: RP09-872-000, Status: Effective

Original Sheet No. 163 Original Sheet No. 163

 

GENERAL TERMS AND CONDITIONS

(Continued)

 

33.8 Customer's address for statements and invoices:

 

______________________________________________________________________

 

______________________________________________________________________

 

______________________________________________________________________

 

Attention: _____________________Telephone: ( )______________________

 

e-mail: _____________________

For all other matters:

 

______________________________________________________________________

 

______________________________________________________________________

 

______________________________________________________________________

 

Attention: ____________________Telephone: ( )_______________________

 

e-mail: _____________________

 

33.9 Acceptance of a service request is contingent upon ASC's completion of a

satisfactory credit appraisal. Prospective Customer must provide evidence

of creditworthiness as outlined in Section 3.3 of the General Terms and

Conditions of ASC's currently effective FERC Gas Tariff.

 

By submitting this request, prospective Customer certifies further that it will execute,

if tendered by ASC, a Storage Service Agreement for the level of service requested herein.

 

THIS SERVICE REQUEST IS HEREBY SUBMITTED THIS __DAY OF _______, _____.

 

By____________________________________________

 

Title_________________________________________

 

Telephone number ( )_______________________

 

e-mail: _____________________________________

 

Customer:_____________________________________(Company Name)