NorAm Gas Transmission Company

Fourth Revised Volume No. 1

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Effective Date: 02/01/1995, Docket: RP94-343-000, Status: Effective

Original Sheet No. 329 Original Sheet No. 329 : Superseded

 

 

 

NORAM GAS TRANSMISSION COMPANY

_______________________________________________________________________________________

 

FORM OF REQUEST FOR POOLING SERVICE

 

 

Send To: NorAm Gas Transmission Company (NGT)

P. O. Box 21734

Shreveport, Louisiana 71151

 

Attention: Transportation & Exchange Dept.

Telecopier: (318)429-3965

 

 

 

CUSTOMER INFORMATION AND NOTICES

 

 

A. SHIPPER PERSON REQUESTING SERVICE

(Complete only if different from PM)

______________________________ ____________________________________

Company Name Name/Title

 

______________________________ ____________________________________

Address(include street address Company Name

for overnight deliveries)

 

___________ /___ /____________ ____________________________________

City State Zip Address

 

_______________ ______________ _____________ /_____ /______________

Phone Telecopier City State Zip

 

______________________________ __________________ _________________

Officer and Title (Signatory Phone Telecopier

Party to Contracts)

 

______________________________

State of Incorporation

 

 

 

B. POOL SCHEDULES & GENERAL NOTICES INVOICES & STATEMENTS

 

_________________________________ ____________________________________

Name/Title Name/Title

 

_________________________________ ____________________________________

Address Company Name

 

______________/____ /____________ ____________________________________

City State Zip Address

 

_______________ _________________ _______________ /___ /______________

Phone Telecopier City State Zip

 

 

 

C. 24-HOUR CONTACT

 

_________________________________ ____________________________________

Dispatcher Name Address

 

______________ __________________ __________________/____ /___________

Phone Telecopier City State Zip

_______________________________________________________________________________________