PASSKEY License Holder Legal Company Name:                                           

PASSKEY Security Contact Requesting VISA ONLY Login IDs:                        

(This should be the same individual who is currently the License Holder's Security Contact.)

If License Holder is an Agent, then please provide name of Contract Holder: 

How many users will be using VISA II?:                                                           

(This will determine the number of VISA Login IDs provided.)

Login IDs will be Faxed to the Security Contact, whose responsibility it is to assign them to the authorized users. VISA ONLY users will be granted access to Measurement Data through the ElPaso VISA II System. PASSKEY License Holders have automatic access to the VISA II System.

It is the user's responsibility to guard against unauthorized VISA access on their PC.

1.Complete the above information and e-mail to: Jay.LeJeune@ElPaso.com or send via fax to Jay LeJeune at (713) 420-2360.

2.Upon receipt & processing of the completed request, El Paso Corporation will fax the VISA Login IDs and passwords to the PASSKEY security contact named above.

If there are any further questions, please contact your Account Representative or Jay LeJeune at (713) 420-3499.

Submitted by:      Date:    

Approved by:   

                                     (Account Representative)