Request for Discounted Interruptible Transportation Rate
Please submit Request to:
Northern Natural Gas Company
Attn: NNG Marketing Dept – Acct Mgr.
1111 S. 103rd St.
Omaha, Nebraska 68103
Or by Fax to: (402) 398-7413
Internal Use Only
Date
Received:_________________________
Shipper Name:
_________________________________________________________________________________________________________________
Following are the POI(s) and the discounted rate being requested.
TI
Receipt Point
Delivery Point
Effective Date
Rate
Rate
Office use
Contract
only
Number
Number
Name
Number
Name
From
To
Requested Approved P
C
A
Upon approval by Marketing, Shipper agrees this discount shall be in accordance with the FERC Gas Tariff and discount procedure.
Date of this request is the __________day of ______________________, 20____. Acct. Mgr. ________________________________
Signature ___________________________________
Name ______________________________________
Title _______________________________________
Phone # ____________________________________
FAX # _____________________________________
Comments____________________________________________________________________
____________________________________________________________________________
Approval by Account Manager ______________________________
Date of Approval _________________________________________
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