TransColorado Gas Transmission Company

Original Volume No. 1

 Contents / Previous / Main Tariff Index

 

 

Effective Date: 11/01/2001, Docket: RP02- 5-000, Status: Effective

Original Sheet No. 425 Original Sheet No. 425 : Superseded

 

RO No. ______

PALS REQUEST ORDER FORM

DATED __________

 

Shipper: __________________ Type of Service: Park _____ Loan _____

Initiation Points Name(s) and PIN(s)________________ MAQ RO: (Dth)

 

Completion Point Name(s) and PIN(s)______ Minimum Aggregate Quantity ___

______________

Term: Start _____ End _____ PALS Agreement #: ________________________

 

Schedule:

Date(s) Service to be Provided Daily Quantity (Dth)

(May Reflect a Range of Dates) (May Reflect a Range of Volumes)

 

From Through Park or Loan Payback Loan or Park Withdrawal

Minimum Maximum Minimum Maximum

__________ ___________ ___________________ ______________________

__________ ___________ ___________________ ______________________

__________ ___________ ___________________ ______________________

__________ ___________ ___________________ ______________________

__________ ___________ ___________________ ______________________

__________ ___________ ___________________ ______________________

__________ ___________ ___________________ ______________________

__________ ___________ ___________________ ______________________

 

Rates: Rates may vary based on volume, time period, etc., as set out in

the Pro Forma Service Agreement.

Park or Loan Payback=volumes which TransColorado receives from Shipper.

Loan or Park Withdrawal=volumes which TransColorado delivers to Shipper.

 

Initial Rate: __________________________________________________________

Completion Rate: _______________________________________________________

Park/Loan Balance Rate: ________________________________________________

 

Service will be ON BEHALF OF:

_____ Shipper [ ] or ___Other [ ]_______ ____________________________,

a __________________________

 

SHIPPER S CONTACT AND ADDRESS

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Phone: ___________________________ Fax: ______________________________

Other Conditions, (if any): ___________________________________________

 

Agreed to by:

TRANSCOLORADO SHIPPER

By:____________________________ By:________________________________

NAME: __________________________ NAME:_______________________________

TITLE: _________________________ TITLE: _____________________________