Any party requesting service, agency authorization, or pooling on Carolina Gas Transmission, LLC’s ("Pipeline") system must complete this Service Request Form, either electronically on Pipeline’s Internet Website or on a paper copy. Completed Service Request Forms shall be sent to:
Customer Services Department
Carolina Gas Transmission, LLC
121 Moore Hopkins Lane
Columbia, SC 29210
No request for service shall be considered until a completed Service Request
Form is received by Pipeline’s Customer Services Department.
2. Date Service or Agreement is requested to Commence/End:
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4. If Requesting Party is acting as agent in arranging this service, specify
below each principal (complete legal name, type of legal entity, D-U-N-S® Number,
and State of incorporation) and its respective type of company(see 3(d) above).
Requesting Party must supply an Agency Authorization Agreement for each principal.
5. Are additional or new facilities required to be installed or constructed by
any party to implement this request? If so, please specify:
6. Name and full title of officer (or general partner) of Requesting Party who
will execute service agreement with Pipeline: