Transfer of Existing Meter(s)

Meter Transfer

Required Fields are marked with an asterisk (*).

Applicable Pipeline System

Requestor *

Effective Date of Transaction

Start Date *

End Date *

(mm/dd/yyyy)

Prospective Shipper Information

Company Name *

Contact Person *

Phone Number *

(999-999-9999)

Email *

Check box only if producer does not have an e-mail address.

Contract Number *

Check box only if Prospective Shipper requires a gathering agreement.

Current Shipper Information

Company Name *

Contact Person *

Phone Number *

(999-999-9999)

Email *

Check box only if producer does not have an e-mail address.

Contract Number *

Producer Company Information

Company Name *

Contact Person *

Phone Number *

(999-999-9999)

Email *

Check box only if producer does not have an e-mail address.

*Meter #	*Meter Name






























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Requestor hereby acknowledges and agrees that the following requirements must be satisfied by a business date that is at least one month in advance of the requested Start Date, which shall be the first day of a calendar month:

All required request(s) must be submitted by Requestor and received by Equitrans;
All required consents from all applicable parties must be received by Equitrans; and
All required service agreement(s) and/or other necessary agreements must be executed and received by Equitrans.

Equitrans reserves the right to deny any request, which in Equitrans' sole judgment, does not satisfy the foregoing requirements.