Stingray Pipeline Company, L. L. C.

Third Revised Volume No. 1

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Effective Date: 11/01/2008, Docket: RP08-436-000, Status: Effective

First Revised Sheet No. 312A First Revised Sheet No. 312A

Superseding: Original Revised Sheet No. 312A

 

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 Full Name: _________________________________

 

E-Mail Address: __________________________________________________________

 

Authorized Employee's Employer: __________________________________

Mailing

Address:______________________City:________________State:_________Zip:_______

 

Phone No.: _________________________ Fax No.: ___________________________

 

Authorized Agent's Full Name: _________________________________

 

E-Mail Address: __________________________________________________________

 

Authorized 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

Employee / Agent (circle one)

_____ Make Imbalance Elections/Trades

Employee / Agent (circle one)

_____ Request New Service, Amendments and Discounts

Employee / Agent (circle one)

_____ Receive and administer the payment of any and all invoices

Employee / Agent (circle one)

_____ Submit Capacity Release Offers, Bids, Recall and Reput

Employee / Agent (circle one)