Columbia Gas Transmission LLC

Third Revised Volume No. 1

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Effective Date: 04/22/2009, Docket: RP09-468-000, Status: Effective

First Revised Sheet No. 536 First Revised Sheet No. 536

Superseding: Original Sheet No. 536

REQUEST FOR SERVICE (Cont'd)

BILLING (if different than Mailing)

Street

City

State

Zip Code

Contact Person (Mr., Mrs., Miss, Ms.)

IMBALANCES (if different than Billing)

Street

City

State

Zip Code

Contact Person (Mr., Mrs., Miss, Ms.)

2. Type of Service Requested

(Please check where appropriate. A completed form must be submitted for each

Rate Schedule requested.)

a. Columbia Gas Rate Schedule -

1. FTS 7. OPT-30 DAY ______ 13. IPP _______ ____19. ISS-M______

2. NTS 8. OPT-60 DAY ______ 14. PAL (parking) ______

3. SST 9. ITS ______ 15. PAL (lending) ______

4. FSS 10. ISS ______ 16 TPS ______ ______

5. FBS ______ 11. SIT ______ 17. NTS-S ______

6. GTS 12. AS ______ 18. FSS-M

b. Columbia Gulf Rate Schedule -

1. FTS-1 3. ITS-1 5. AS-GULF

2. FTS-2 4. ITS-2 6. IPP-GULF

c. Authority under which transportation is requested. Please state the appropriate

subpart. (Not applicable for IPP)

1. Part 284, Subpart B (NGPA § 311) or

2. Part 284, Subpart G (Blanket Certificate)