American Midstream (AlaTenn), LLC

Fifth Revised Volume No. 1

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Effective Date: 05/01/2010, Docket: RP10-493-000, Status: Effective

Original Sheet No. 321C Original Sheet No. 321C

FORM OF SERVICE CONTRACT (FT-SG)

(continued)

EXHIBIT C

TO GAS TRANSPORTATION CONTRACT (FT-SG)

DATED ___________

BETWEEN

AMERICAN MIDSTREAM (ALATENN), LLC

AND

Contract No. ______________

Discount Information

Dated: ______________________________________

Discounted Transportation Rate: ___________________________

Discounted Rate Effective: From: _____________ To:__________________

___Evergreen: ___ Year-to-Year

___ Month-to-Month

Condition for Discounted Transportation Rate (check applicable condition(s)):

____ Discounted Transportation Rate applicable to specified quantities under

Shipper's Service

Contract(s):

_____________ Dth

____ Discounted Transportation Rate applicable to specified quantities above or

below a

certain level

or all quantities if quantities exceed a certain level:

Discounted Transportation Rate applicable to ________ Dth above/below

_____________ Dth

or