page WRH Access Agreement 06/17
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 Electronic Access Agreement
(Agreement) between White River Hub, LLC (White River) and the entity identified in the signature block below (Shipper).
Pursuant to this User Agreement, Shipper requests White River to provide or terminate access for the employee(s) or agent(s)
designated by Shipper below and for the portions specified below on White River's proprietary computer software programs and
their contents known as QuestLine® in order to transact transportation and storage business on behalf of Shipper on White
River'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
__ Capacity Release
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 White River at 801-324-5340 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 Questar 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 White River.