Columbia Gas Transmission LLC

Third Revised Volume No. 1

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Effective Date: 03/03/2009, Docket: RP09-340-000, Status: Effective

Original Sheet No. 543 Original Sheet No. 543

REQUEST FOR SERVICE

SHIPPER NAME OR ADDRESS CHANGE

COLUMBIA GAS TRANSMISSION, LLC

COLUMBIA GULF TRANSMISSION COMPANY

1. Changes are applicable to:

Rate Schedule Agreement No.

ALL

2. Identity of Requestor

Legal company name

Abbreviation or short name (if applicable)

Phone Number

Facsimile Number

ADDRESSES FOR AGREEMENT

MAILING

Street

City

State

Zip Code

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

BILLING (if different than Mailing)

Street

City

State

Zip Code

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