Northwest Pipeline Corporation

First Revised Volume No. 1-A

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Effective Date: 11/25/1990, Docket: GT91- 5-000, Status: Effective

Original Sheet No. 440 Original Sheet No. 440 : Effective

 

GENERAL TRANSPORTATION TERMS AND CONDITIONS

(CONTINUED)

 

 

NORTHWEST PIPELINE CORPORATION

Transportation Request

 

Shipper Information

 

1. Shipper Name: _________________________________________________

(Legal Name of Party who will be signing Agreement)

 

(a) Requester: _______________________________________________

(if other than Shipper)

 

2. Shipper is (Check One)

 

_____ End User _____ Hinshaw Pipeline

_____ LDC _____ Producer

_____ Interstate Pipeline _____ Marketer

_____ Intrastate Pipeline _____ Other____________________(please specify)

 

 

3. Shipper's Contact Person ______________________________________

Phone Number (___)_________________________________

Telecopy Number (___)_________________________________

 

4. Address: Notices to: _____________________________________

P.O. Box & Zip _____________________________________

Street & Zip _____________________________________

City, State _____________________________________

Attention _____________________________________

 

 

Invoices to: _____________________________________

P.O. Box & Zip _____________________________________

Street & Zip _____________________________________

City, State _____________________________________

Attention _____________________________________

 

 

Regulatory/"On Behalf of" Information

 

5. Shipper hereby requests:

 

___ Section 311 transportation pursuant to Section 284.102 for service on

behalf of a local distribution company or an intrastate pipeline.

 

___ Open access transportation pursuant to Section 284.222 for service on

behalf of an interstate pipeline.

 

___ Open access transportation pursuant to Section 284.223 for service on

behalf of a shipper other than an interstate pipeline.

 

6. If service is requested pursuant to Section 284.102 above, identify the

"on behalf of" party associated with the transportation service requested:

 

Legal Name: ____________________________________________________