CPBA PRELIMINARY INFORMATION FORM
For assistance with this form please contact a CGT Account Manager at 1.800.343.4743
Page 1 of 2
Please submit form via e-mail by using the submit button or print and fax to
925.244.3544.
The information provided in this document will be used to populate a California Production Balancing
Agreement, which will be sent to you for your signature.
Company Name
Entity Type _
(e.g., California Corporation)
Please provide the following contact Information:
Authorized Agent
Gas Nominations
Company
Name
Address
Address
Phone
E-mail
Company
Name
Address
Address
Phone
E-mail
Notifications and Trades
Physical Operator
Company
Name
Address
Address
Phone
E-mail
Company
Name
Address
Address
Phone
E-mail
Submit to CGT
CPBA PRELIMINARY INFORMATION FORM
For assistance with this form please contact a CGT Account Manager at 1.800.343.4743
Page 2 of 2
Please list all applicable Receipt Point Meter Numbers.
Receipt Point
Meter No.
Producer Name
Receipt Point
Meter No.
Producer Name
1
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
9
29
10
30
11
31
12
32
13
33
14
34
15
35
16
36
17
37
18
38
19
39
20
40