ANR Storage Company

Original Volume No. 1

 Contents / Previous / Next / Main Tariff Index

 

 

Effective Date: 04/01/2010, Docket: RP10-442-000, Status: Effective

Fourth Revised Sheet No. 156 Fourth Revised Sheet No. 156

Superseding: Third Revised Sheet No. 156

 

ANR Storage Company

STORAGE SERVICE REQUEST FORM

 

 

Send to: ANR Storage Company (Seller)

717 Texas Street

Houston, Texas 77002-2761 Date Received

 

Attention: Commercial Services

Fax Telecopy No.: (832) 320-5677

Verification No.: (832) 320-5474

 

NOTE: A check, if required by Section 2.1 of the General Terms and

Conditions of Seller's FERC Gas Tariff, Original Volume No. 1

("Tariff"), must accompany each Storage Service Request to be

valid.

 

INFORMATION REQUIRED FOR VALID STORAGE REQUEST

 

NOTE: ANY CHANGE IN THE FACTS SET FORTH BELOW, WHETHER BEFORE OR

AFTER SERVICE BEGINS, MUST BE PROMPTLY COMMUNICATED TO SELLER

IN WRITING.

 

1. Requestor: (Do not complete if same as Customer, see No. 3 below)

Requestor's Name:________________________________________________

 

2. Is Requestor affiliated with Seller? YES _____ NO _____

If yes, type of affiliation and the percentage of ownership between

Seller and Requestor____________________________________________

 

3. Customer's Name, Address and D&B Number: (Note: The "Customer" is

the party which proposes to execute the Storage Agreement with

Seller).

 

_________________________________________________________________

 

_________________________________________________________________

 

Attention: ______________________ Telephone ( )________________

 

 

Address for _____________________________________________________

Statements _____________________________________________________

& Invoices _____________________________________________________

 

Attention: ____________________ Telephone ( )________________

 

For All _____________________________________________________

Other Matters_____________________________________________________

 

Attention: ____________________ Telephone ( )________________

 

Dispatch & Control Representative ________________________________

 

Telephone No. ( )______________ Telecopier ( )_______________