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Original Sheet No. 331 Original Sheet No. 331 : Superseded

 

FORM OF CREDIT APPLICATION

 

NORAM GAS TRANSMISSION COMPANY

("NGT")

C R E D I T A P P L I C A T I O N

 

General Information

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

 

Applicant's Legal

Name___________________________________________________________

Mailing Address________________________________________________

City, State, Zip Code _________________________________________

Contact Person_____________________Telephone No. (____)________

Business Entity: __ Corporation __ Partnership __ Other_____

Type of Business:__Producer__Marketer__End User__LDC __Other___

List parent corporation (if Applicant is a subsidiary company)

or general Partners (if Applicant is a partnership) ___________

_______________________________________________________________

 

Bank Reference (or other financing source):

 

Bank Name __________________________ Bank Account No. _________

Address ___________________________ Telephone No. (____)_______

City, State, Zip Code _________________________________________

 

Trade References (please provide two)

 

Company Name ____________________ Company Name ________________

Address _________________________ Address _____________________

_________________________ _____________________

Contact _________________________ Contact _____________________

Phone (____)_____________________ Phone (____)_________________

 

Additional Information

Estimate of activity under all Service Agreements with NGT:

 

PS IT FT NNTS ISS FSS

Estimated Monthly Volume

(MMBtu) _____ _____ _____ _____ _____ _____

Estimated Monthly

Charges $____ $____ $____ $____ $____ $____

Date Service Requested ==> ________________