East Tennessee Natural Gas Company

Second Revised Volume No. 1

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Effective Date: 11/01/1993, Docket: RS92- 33-003, Status: Effective

Original Sheet No. 273 Original Sheet No. 273 : Superseded

 

 

 

SERVICE REQUEST FORM

 

 

East Tennessee Natural Gas Company

P.O. Box 2511

Houston, TX 77252-2511

 

Attention: Transportation Marketing

 

Re: ____ New Service ____ Rate Schedule FT-A

____ Modification of service ____ Rate Schedule FT-GS

under Agreement No. ____ ____ Rate Schedule IT

____ Rate Schedule LNGS

____ Rate Schedule LMS-PA

____ Rate Schedule LMS-MA

 

 

___________________________ (Shipper) hereby requests service as specified above from

East Tennessee Natural Gas Company (East Tennessee) and concurrently provides the

following information in connection with this request:

 

1. Complete legal name of Shipper:

 

____________________________________________________________________

____________________________________________________________________

 

 

2. Type of legal entity and state of incorporation:

 

____________________________________________________________________

____________________________________________________________________

 

 

3. Type of company:

 

_________________ Local Distribution Company

_________________ Intrastate Pipeline

_________________ Interstate Pipeline

_________________ Producer

_________________ End-User

_________________ Marketer

_________________ Broker

_________________ Other (fill in)