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:

_____________________

-----------------------------------------------------------------

------------

 

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 ( ) -______.