Enbridge Offshore Pipelines (Utos) LLC

FIFTH REVISED VOLUME NO. 1

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Effective Date: 08/31/2006, Docket: RP06-453-000, Status: Effective

Original Sheet No. 335 Original Sheet No. 335 : Effective

 

 

 

EXHIBIT B

INTERACTIVE INTERNET WEBSITE ACCESS REQUEST FORM

 

 

SHIPPER (Complete Legal Name)________________________________________________

 

Mailing Address: ___________________________________________________________

 

City: ____________________________ State: ___________________ Zip:___________

 

DUNS No.: ____________________________ Federal Tax ID No.: __________________

 

Authorized Employee's/Agent's Full Name: _________________________________

 

E-Mail Address: _____________________________________________________

 

Authorized Employee's/Agent's Employer: __________________________________

Mailing

Address:______________________City:________________State:_________Zip:_______

 

Phone No.: _________________________ Fax No.: ___________________________

 

Indicate Update Capabilities for this Authorized Employee/Agent:

_____ Execute Contracts, Amendments and Accept Discounts

_____ Make Imbalance Elections/Trades

_____ Request New Service, Amendments and Discounts

_____ Receive and administer the payment of any and all invoices

_____ Submit Capacity Release Offers, Bids, Recall and Reput

_____ Submit Confirmations, PDAs, Storage Transfers

_____ Submit Nominations and Storage Transfers

_____ View-only access to Interactive Internet Website screens, e-mail,

web page and reports for SHIPPER will be available to SHIPPER'S

authorized employees

 

Signed by SHIPPER'S Authorized Employee/Agent:

 

__________________________________________________ Date: ________________

 

Approved by Shipper:____________________________________________

 

Title: ___________________________________________ Date: ___________________

 

FOR INTERNAL USE ONLY

 

Enbridge Offshore Pipelines (UTOS), LLC Officer Signature:

 

_ ________________________________________________

 

Printed Name: ___________________________________________________________

_

Title: ________________________________ Date:______________________________

 

 

USER ID: ______________________________ Shipper# (if no DUNS): ______________

 

Security approved by:___________________ Date: _____________________________

 

PLEASE FAX COMPLETED FORM TO (832) 214-5791