Rockies Express Pipeline LLC (Entrega)

Second Revised Volume No. 1

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Effective Date: 09/01/2007, Docket: CP06-354-002, Status: Effective

Original Sheet No. 422 Original Sheet No. 422 : Effective

RO No.:

PALS REQUEST ORDER FORM

DATED

Shipper: Type of Service: Park

Loan

Initiation Point Name(s) and PIN(s): MAQ RO: (Dth)

Completion Point Name(s) and PIN(s) Minimum Aggregate Quantity

Term: Start End PALS Agreement #:

Schedule:

Date(s) Service to be Provided Daily Quantity (Dth)

(May Reflect a Range of Dates) (May Reflect a Range of Volumes)

From Through Park or Loan Payback Loan or Park Withdrawal

Minimum Maximum Minimum Maximum Maximum Minimum

Rates: Rates may vary based on volume, time period, etc., as set out in

the Pro Forma Service Agreement.

Park or Loan Payback = volumes which Transporter RECEIVES from Shipper.

Park or Loan Withdrawal = volumes which Transporter DELIVERS to Shipper.

Initial Rate:

Completion Rate:

Park/Loan Balance Rate:

Service will be ON BEHALF OF:

Shipper [ ] or Other [ ] , a

SHIPPER'S CONTACT AND ADDRESS

Phone: Fax:

Other Conditions (if any):

Agreed to by:

TRANSPORTER SHIPPER

BY: BY:

NAME: NAME:

TITLE: TITLE: