Stingray Pipeline Company
Third Revised Volume No. 1
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Effective Date: 08/01/2002, Docket: RP03-532-000, Status: Effective
First Revised Sheet No. 312 First Revised Sheet No. 312 : Effective
Superseding: Original Sheet No. 312
STINGRAY PIPELINE COMPANY, L.L.C.
FORM OF INTERACTIVE INTERNET WEBSITE USER ACCESS AUTHORIZATION
FORM
Please print or type, except where indicated.
USER:
USER's Name:
_____________________________________________________
eMail Address _____________@____________
USER'S Company (Employer):____________________________
Phone No.: _________________Fax No.: _______________
Mailing Address:_____________________________________
City: _______________________State: _________Zip:_______
Physical Address:____________________________________
City: _______________________State: _________Zip:_______
SHIPPER COMPANY INFORMATION:
Complete Legal Name:
___________________________________________
Mailing Address:_____________________________________
City: _______________________State: _________Zip:_______
Physical Address:____________________________________
City: _______________________State: _________Zip:_______
DUNS Number: __________________________Tax ID Number:
_____________________
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Indicate Update Capabilities for this USER:
_____ Make Imbalance Elections/Trades
_____ Request New Service, Amendments and Discounts
_____ Submit Capacity Release Offers, Bids, Recall and Reput
_____ Submit Confirmations, PDAs, Storage Transfers
_____ Submit Nominations and Storage Transfers
By completing and signing this form, you have agreed to abide by
the terms and conditions of the System License Agreement in the
Stingray Pipeline Company, L.L.C. FERC Gas Tariff.
USER's Signature: _____________________________________ Date:
_______________
Officer of SHIPPER Company Signature:
____________________________________ Title:____________
____
Officer of SHIPPER Company Printed Name:
____________________________________________
Date:________________
Fax completed & executed form to the Attention of
____________________
( ) -______.
Questions? Contact ________________ at ( ) -______.