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Shipper Access Request Form
Legal Company Name:
*
Access Type:
*
Add
Modify
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Check Applicable Assets
*
AGS
BRD
BSP
SGG
TIO
W10
Blue Union
LEAP
Name:
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Office Phone:
*
Cell Phone:
*
Title:
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Email:
*
Department Email:
IM:
Name:
*
First
Last
User ID:
*
Email
*
What would you like to modify?
*
Name of Person to Remove:
*
First
Last
Requestor:
*
Phone:
*
Email:
*
Describe Your Role/Access Level
Please select all that apply.
Scheduler
Scheduler
Accounting
Accounting
Measurement
Measurement
Operator
Operator
Marketing
Marketing
Contract Administrator
Contract Administrator
Notifications Requested
Please select all that apply.
Invoice Ready
Contract Reminder
Nomination
Operator Confirmation
System Wide Notices
Capacity Release (BRD Only)
OFO Notifications (BRD Only)
Imbalance Trading (BRD Only)
Comments
This field is for validation purposes and should be left unchanged.