Send: |
a) Electronically through ANR Pipeline
website
b) Fax Telecopy No. (832)
320-5677 Verification No. (832)
320-5474
c) Mail Transportation
Services ANR Pipeline
Company P.O. Box 2446 Houston, Texas
77252-2446 |
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INFORMATION REQUIRED FOR VALID TRANSPORTATION
REQUEST |
1. SHIPPER:
*Full Legal
Name: |
*Entity ID
(DUNs#):
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*Contact
Name:
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*Contact
Phone:
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Contact
Email:
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Is Requestor affiliated with
ANR?
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No
Yes ANR
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ANR Affiliate
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% Ownership of OR
%
Owned by ANR or ANR Affiliate
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Is Shipper affiliated with
ANR?
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No
Yes ANR
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ANR Affiliate
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% Ownership of OR % Owned by ANR or ANR Affiliate
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2. TYPE OF REQUEST
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New Service
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Amended Service
(Contract No.)
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Amendment Reason:
Change Primary Points(s) (Must extend through term of Agreement)
Elevation of Secondary Point to Primary
Other
(Reason)
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If Amended Service Request is from a Capacity Release Replacement
Shipper:
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Replacement Shipper Contract #:
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Releasing Shipper Contract #:
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3. CONTRACT TERM *
From:
To:
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Amendment Effective
Date:
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(Agreements for Rate Schedule
FSS of at least twelve (12) consecutive
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months and for Rate Schedule STS must end
on March 31)
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4. * RATE
SCHEDULE
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Associated
Gathering Contract? Yes No
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5.
CONTRACT QUANTITIES
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