Midcoast Interstate Transmission, Inc.

Second Revised Volume No. 1

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Effective Date: 10/01/1997, Docket: GT97- 71-000, Status: Effective

First Revised Sheet No. 206 First Revised Sheet No. 206 : Effective

Superseding: ORIGINAL SHEET NO. 206

TRANSPORTATION SERVICE REQUEST FORM

 

 

Midcoast Interstate Transmission, Inc.

P.O. Box 3869

Muscle Shoals, Alabama 35662

 

 

Attention: Gas Transportation Service

 

 

Re: New Service Interruptible Service

or or

Modification Firm Service

of Existing Service

 

(Description of existing service to be modified:

 

 

 

 

Gentlemen:

 

(Shipper) hereby requests transportation service from Midcoast

Interstate Transmission, Inc. (Midcoast) 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)