QUESTLINE® ACCESS AGREEMENT
(Continued)
EXHIBIT A
REQUEST FOR USER ACCESS TO QUESTLINE®
This Request for User Access to QuestLine® (User Agreement) is part of and subject to the QuestLine® Access
Agreement (Agreement) between DOMINION ENERGY OVERTHRUST PIPELINE, LLC (Overthrust) and the entity
identified in the signature block below (Shipper).
Pursuant to this User Agreement, Shipper requests Overthrust to provide or terminate access for the employee(s)
or agent(s) designated by Shipper below and for the portions specified below on Overthrust’s proprietary computer
software programs and their contents known as QuestLine® in order to transact transportation and storage
business on behalf of Shipper on Overthrust’s natural gas transmission pipeline system.
1. User Name:
FIRST and LAST NAME (Please print) Telephone
E-mail
Check all that apply:
Request Type: Transaction services profile:
__ Add user __ Contracting
__ Delete user __ Capacity Release
__ Change user profile __ Nominations
Balancing
Imbalance Trade Administration
Confirmations
__ Reporting/On-line Invoicing
__ Critical Notices
__ Non-Critical Notices
2. User Name:
FIRST and LAST NAME (Please print) Telephone
E-mail
Check all that apply:
Request Type: Transaction services profile:
__ Add user __ Contracting
__ Delete user __ Capacity Release
__ Change user profile __ Nominations
Balancing
Imbalance Trade Administration
Confirmations
__ Reporting/On-line Invoicing
__ Critical Notices
__ Non-Critical Notices
INTENDING TO BE LEGALLY BOUND, Shipper has caused this User Agreement to be executed by its authorized
representative effective as of the date written below
Shipper:
Signature:
Name:
Title:
Date:
Instructions:
If you have any questions, please contact Overthrust at 801-324-5280 or 801-324-5604. Fax: 801-324-5245.
Shipper may designate additional users and changes by printing and completing additional forms.
Submit the completed, executed User Agreement to DOMINION ENERGY OVERTHRUST PIPELINE, LLC,
Transportation Customer Service Department, Mailstop QC356, P.O. Box 45360, Salt Lake City, Utah
84145-0360.
This User Agreement is subject to acceptance by Overthrust.