American Midstream (AlaTenn), LLC

Fifth Revised Volume No. 1

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

Original Sheet No. 343 Original Sheet No. 343

TRANSPORTATION SERVICE REQUEST FORM - continued

In the event Buyer cannot provide the information in

Section (i) and/or (ii) above, Buyer shall, if

applicable, provide that information for its parent

company. Transporter shall not be required to perform or to

continue service under this Rate Schedule on behalf of

any Buyer who is or has become insolvent or who, at

Transporter's request, fails within a reasonable period to

demonstrate credit worthiness, provided, however, such

Buyer may receive firm service under this Rate Schedule

if Buyer prepays for such service or furnishes good and

sufficient security, as determined by Transporter in its

reasonable discretion, in an amount equal to the cost of

performing the service requested by Buyer for a three

Month period. Transporter shall seek appropriate

authorization from the Federal Energy Regulatory

Commission prior to termination of service for any Buyer

that fails to demonstrate credit worthiness or has become

insolvent. For purposes herein, the insolvency of a

Buyer shall be evidenced by the filing by Buyer or any

parent entity thereof (hereinafter collectively referred

to as "the Buyer") of a voluntary petition in bankruptcy

or the entry of a decree or order by a court having

jurisdiction in the premises adjudging the Buyer bankrupt

or insolvent, or approving, as properly filed, a petition

seeking reorganization, arrangement, adjustment or

composition of or in respect of the Buyer under the

Federal Bankruptcy Act or any other applicable federal or

state law, or appointing a receiver, liquidator,

assignee, trustee, sequestrator (or other similar

official) of the Buyer or of any substantial part of its

property, or the ordering of the winding-up or

liquidation of its affairs, with said order or decree

continuing unstayed and in effect for a period of sixty

(60) consecutive Days.

17. Is Shipper affiliated with AlaTenn? Yes ______ No____________

Is your supplier affiliated with AlaTenn? Yes ______ No________