K N Interstate Gas Transmission Co.

Second Revised Volume No. 1-A

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Effective Date: 11/01/1994, Docket: RP94-397-000, Status: Effective

First Revised Sheet No. 83 First Revised Sheet No. 83 : Superseded

Superseding: Original Sheet No. 83

NO-NOTICE SERVICE REQUEST FORM

 

K N INTERSTATE GAS TRANSMISSION CO.

 

 

SHIPPER INFORMATION

 

Complete Legal Name of Shipper: ____________________________________

State of Incorporation: _____________________________

 

Address: ____________________ For Billing: ______________________

____________________ ______________________

____________________ ______________________

Phone: ____________________ Phone: ______________________

Fax: ____________________ Fax: ______________________

 

For Notices: For Scheduling and Volume Information:

(include street address for express service)

 

Contact Name:

________________________ _____________________

________________________ _____________________

________________________ _____________________

________________________ _____________________

Phone: ________________________ Phone: _____________________

Fax: ________________________ Fax: _____________________

 

Shipper is:

___ Local Distribution Company ___ Intrastate Pipeline

___ Interstate Pipeline ___ Producer

___ End User ___ Marketer

___ Other (specify)_________________________________________________

 

Name and full title of representative who will execute the written no-notice

service agreement with Transporter (if signatory person is not an officer,

please provide written authorization for signature)

 

Name: _______________________________________________

 

Title: _________________________________________________

 

If person requesting service is an agent of Shipper, please provide proof of

authority to act as agent of Shipper and complete the following: