Sea Robin Pipeline Company
First Revised Volume No. 1
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Effective Date: 12/01/1998, Docket: RP98-365-000, Status: Effective
Third Revised Sheet No. 52 Third Revised Sheet No. 52 : Superseded
Superseding: First Sub. Second Rev. Sheet No. 52
GENERAL TERMS AND CONDITIONS
(g) As required by the Transportation Service Request Form, the Receipt and
Delivery Point/s at which service is requested.
(h) Whether service is firm or interruptible.
(i) The state of the ultimate end user of the gas.
(j) The transportation rate schedule and transportation rate applicable to the
(k) The production profile and technical data applicable to
service under Rate Schedule FTS-2.
17. TRANSPORTATION SERVICE REQUEST FORM
Upon completion of this form please return to the Transportation Services
Department, Sea Robin Pipeline Company, P.O. Box 2563, Birmingham, Alabama
1. Shipper Name*:_____________________________________________
Dun and Bradstreet No.___________(*Legal name of signatory party to agreement)
State of incorporation:____________________________ (if corporation)
Type of Legal Entity:
2. Contact Person:_________________________Phone:______________ Address:
3. Shipper is (Check one of the following):
a __ Interstate d __ End User g__ Intrastate
b __ LDC e __ Producer h __ Other_____
c __ Hinshaw f __ Marketer
Shipper is affiliated with Sea Robin:
_______ No _______ Yes