Cotton Valley Compression LLC

Original Volume No. 1

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Effective Date: 07/01/2000, Docket: CP99-541-003, Status: Effective

Original Sheet No. 22 Original Sheet No. 22 : Effective

SERVICE REQUEST FORM

Cotton Valley Compression, L.L.C. Date:____________________________

301 S.E. Adams Boulevard

Bartlesville, Oklahoma 74005

Attention: Manager

Gentlemen:

___________________________________________________ (Shipper) hereby

requests service from Cotton Valley Compression, L.L.C. (CVC) pursuant to

Article 8.1 of the General Terms and Conditions of its tariff and concurrently

provides the following information in connection with this request:

1. Request is for (check as appropriate):

a. New Service Agreement (only one per request) ____

i Firm Transportation Service (FT) ____

ii Interruptible Transportation Service (IT) ____

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