Arkansas Western Pipeline Company

First Revised Volume No. 1

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Effective Date: 12/01/1993, Docket: CP92-570-005, Status: Effective

Original Sheet No. 35 Original Sheet No. 35 : Superseded

 

 

 

FORM OF

TRANSPORTATION SERVICE REQUEST FORM

 

Arkansas Western Pipeline Company Facsimile: (713) 850-9444

4900 Woodway Drive Telephone: (713) 850-7703

Suite 740

Houston, Texas 77056

Attention: Transportation Agent

 

Re: _____ New Service ______ Interruptible Service

or

 

_____ Modification ______ Firm Service

of Existing Service

 

(Description of existing service to be modified:

Contract No.______________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

 

 

Gentlemen:

 

____________________ (Shipper) hereby requests transportation

service from Arkansas Western Pipeline Company (AW Pipeline) and

concurrently provides the following information in connection with

this request:

 

1. Complete legal name and principal place of business of

Shipper:____________________________________________________

____________________________________________________________

 

2. Type of company:

 

____________ Local Distribution Company

____________ Intrastate Pipeline

____________ Interstate Pipeline

____________ Producer

____________ End-User

____________ Marketer

____________ Broker

____________ Other (fill in)