NY Aggregation and Credit Application

NY Aggregation and Credit Application

Please fill out the form below and then click print to generate a printable PDF of your responses, and mail to the following address: National Fuel Gas, Transportation Services 6363 Main Street, Williamsville NY 14221 or email to TSSsupport@natfuel.com.

 

NY AGGREGATION AND CREDIT APPLICATION

Is the business a subsidiary?*

*required

If a subsidiary, list parent company name & headquarters address

*required

*required

Type of Business:

*required

*required

OFFICERS / PRINCIPALS OF BUSINESS APPLICANT

Type of Aggregation Service Requested:

Please check all that are requested

*Please check which billing models will be used:

ADDITIONAL APPLICANT INFORMATION:

Does your company currently purchase gas or transportation services from National Fuel Gas Distribution Corporation (NFGDC)?*

*required

Have you acted as a pool agent for any transportation gas pool on National Fuel Gas Distribution Corporation’s system any time in the last twelve (12) months?*

*required

As a participant in NFGDC’s STBA program, you are required to have upstream capacity on the major interstate pipeline systems. Are you an “approved bidder” or do you have an “approved agent” on National Fuel Gas Supply Corporation’s and other major interstate pipeline systems?*

*required

BANK REFERENCES:

ADDITIONAL CREDIT / TRADE REFERENCES:

The undersigned hereby authorizes National Fuel Gas Distribution Corporation to make whatever credit inquiries it deems necessary in order to process this credit application; regarding any credit review or the collection of any debts accrued as a result of any credit extended as a result of their reliance on the information provided on or obtained from credit references given on this application. In addition, the undersigned hereby authorizes and instructs any person or credit reporting agency to compile and furnish National Fuel Gas Distribution Corporation any information it may have or may find necessary to obtain in response to requested credit inquiries. The undersigned further asserts that they have the authority to grant the permission to relinquish the requested information.

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