Crossroads Pipeline Company

First Revised Volume No. 1

Effective Date: 11/01/2001, Docket: RP02- 14-000, Status: Effective

Original Sheet No. 523 Original Sheet No. 523 : Effective

REQUEST FOR SERVICE

(Continued)

For items 4 and 5, list the following for each requested receipt and/or delivery point:

(i) Transaction Type:

A - add new point of receipt or delivery;

I - increase an existing contracted receipt/delivery point by the amount stated;

R - reduce an existing contracted receipt/delivery point by the amount stated;

D - delete an existing receipt/delivery point.

(ii) Receipt/Delivery meter (Available through Transporter's EBB);

The explicit receipt and/or delivery meter(s) must be identified if firm

service is being requested.

(iii) Daily quantities (Dth) to be delivered to/by Transporter.

4. (i) A - Add (ii) Receipt Point (iii) Daily Quantity

I - Increase

R - Reduce

D - Delete

_______________ _______________ _______________

5. (i) A - Add (ii) Delivery Point (iii) Daily Quantity

I - Increase

R - Reduce

D - Delete

_______________ _______________ _______________

General Comments

Requestor hereby certifies that the information contained in this Request for Transportation is complete

and accurate to the best of Requestor's knowledge, information, and belief; that transportation agreements

with all downstream and upstream third-party transporters have been either executed or requested; and that all

State and Federal approvals that are necessary for gas to be received into and delivered from Transporter's

facilities have been applied for or obtained.

Requestor Company: ________________________________________________________________

Signed By: ________________________________________________________________________

Title: ____________________________________________________________________________

Date: _____________________________________________________________________________