Gulfstream New Business Associate Form
including access to 1Line

COMPANY
Reason for Request
Party Type:
   
Company Legal Name:
State of Incorporation:
   
Legal Entity Type:
DUNS Number:
   
Federal Tax ID:
* Please email a copy of your
W-9 to:  wgp-transco@williams.com 		       
Physical Address:
City
   
State:
Zip:
Country
Mailing Address:
City:
   
State:
Zip:
Country
Telephone Number:
Fax Number:
   
Company Web Site:
Gulfstream Affiliate?
Yes No    
SSA
The 1Line System Security Administrator (SSA) must be the first 1Line system user entered for your company.
The SSA has the authority to setup, maintain, and manage security information for other users at your company.
SSA Name:
Title:
   
Street Address:
City:
   
State:
Zip:
Country:    
Telephone Number:
Fax Number:
   
Mobile Number:
Pager Number:
   
SSA Work E-Mail:
Secondary E-mail:
   
Text Messaging E-mail:
       
Would the SSA like to receive critical notices via email?  Yes No
Would the SSA like to receive non-critical notices via email?    Yes No
BILLABLE/REFUNDS/PAYMENTS/PARTY CONTACT
The Billable Party Contact information will be used when mailing invoices, and other billing related correspondence, and/or refunds/payments
Contact Name:
Title:
   
Street Address:
City:
   
Billable Party Address County:
     
State:
Zip:
Country:    
Telephone Number:
Fax Number:
   
Mobile Number:
Pager Number:
   
Work E-Mail :
Secondary E-mail:
   
Text Messaging E-mail:
       
Invoicing/Billing correspondence should be delivered via:
Priority Acct No (if FedEx or UPS selected):  
Would the Billable Party Contact like to receive critical notices via email?  Yes No
Would the Billable Party Contact like to receive non-critical notices via email? Yes No

Does your company prefer check or wire for payments? Check Wire       If prefer wire, please provide the following information below:

Bank Name:
Bank ABA No. :
Bank Account No. :
Bank City :
Bank State :
   
CONTRACT NOTICE PARTY CONTACT
The Contract Notice Party Contact information will be used for all Contract Notices.
Contact Name:
Title:
   
Street Address:
City:
   
State:
Zip:
Country:    
Telephone Number:
Fax Number:
   
Mobile Number:
Pager Number:
   
Work E-Mail:
Secondary E-mail:
   
Text Messaging E-mail:
       
Would the Contract Notice Party Contact like to receive critical notices via email?  Yes No
Would the Contract Notice Party Contact like to receive non-critical notices via email?   Yes No
           
CAPACITY RELEASE CONTACT
The Capacity Release Contact is the primary contact for capacity release.
Will your company be doing Capacity Release? Yes No   If No, skip this section.
Contact Name:
Title:
   
Street Address:
City:
   
State:
Zip:
Country:    
Telephone Number:
Fax Number:
   
Mobile Number:
Pager Number:
   
Work E-Mail:
Secondary E-mail:
   
Text Messaging E-mail:
       
Would this contact like to receive critical notices via email?   Yes No
Would this contact like to receive non-critical notices via email?    Yes No
BALANCE TRADE CONTACT
The Balance Trade Contact is the primary contact for the trading of imbalances.
Contact Name:
Title:
   
Street Address:
City:
   
State:
Zip:
Country:    
Telephone Number:
Fax Number:
   
Mobile Number:
Pager Number:
   
Work E-Mail:
Secondary E-mail:
   
Text Messaging E-mail:
       
Would this contact like to receive critical notices via email?    Yes No
Would this contact like to receive non-critical notices via email?   Yes No

Does this entity have any Parent or Affiliates currently doing business with Gulfstream?

This entity will be:
 An operator of a Location on Gulfstream?
Yes No
A Producer on a location on Gulfstream?
Yes No
 Will transport on Gulfstream?
Yes No
Will be an agent for "others" on Gulfstream?
Yes No
  Will have an agent helping it conduct business with Gulfstream?
Yes No
Are you currently working with anyone at Gulfstream to get this entity set up?
Yes No    If Yes, who?
PERSON SUBMITTING THIS FORM
I am the:
       
Contact Name:
Title:
   
Street Address:
City:
   
State:
Zip:
Country:    
Telephone Number:
Fax Number:
   
Mobile Number:
Pager Number:
   
Work E-Mail:
Secondary E-mail:
   
Text Messaging E-mail:
       
Would you be a 1Line System user? Yes No
Would you like to receive critical notices via email?
Yes No
Would you like to receive non-critical notices via email? 
Yes No

 




You may submit this form online or by mail. To submit by mail, send to Transportation Services at the following address:

Gulfstream Natural Gas System, L.L.C.
Transportation Services
Attn: New BA Group
P.O. Box 1396
Houston, Texas 77251-1396

Revised 2-18-2010