Carolina Gas Transmission Corporation

Original Volume No. 1

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Effective Date: 11/01/2006, Docket: CP06- 71-001, Status: Effective

Original Sheet No. 365 Original Sheet No. 365 : Effective

EXHIBIT A

to

SERVICE AGREEMENT UNDER

RATE SCHEDULE PAL

BETWEEN

Carolina Gas Transmission Corporation

AND

_______________________("Shipper")

DATED _________________

Maximum Quantity: _______ Dts

Maximum Duration: _______ Gas Days

Description of rate (check one):

______ Recourse Rate

______ Negotiated Rate under GT&Cs Section 29

______ Discounted Rate under GT&Cs Section 30

If not at the Recourse Rate, complete the following and describe the discounted

or Negotiated Rate provisions as permitted by the Tariff and applicable

Commission policy and precedent. Any service under this Service Agreement that

does not comply with the following provisions shall be at the applicable

Recourse Rate.

First Day Rate: _______________________

Subsequent Day Rate: __________________

Pipeline: _____________________________________

Shipper: _____________________________________

Supersedes Exhibit A, if any, Dated: ____________________