Crossroads Pipeline Company

First Revised Volume No. 1

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

Original Sheet No. 527 Original Sheet No. 527 : Effective

REQUEST FOR SERVICE

(Continued)

4. a. If the request is for firm service, please enter the following:

_____ Parcel Number

_____ Bid Rate (The stated rate will be deemed to be the agreement's currently effective rate.)

b. State Bid Offer Contingencies

___________________________________________________________________

5. Beginning date of requested change

_____/____/_____

6. Please enter the appropriate quantities.

_____ a. Transportation Demand/Quantity (Dth/d) for services under all Rate Schedules

_____7. Will a partial offer of the amount requested be acceptable? YES/NO

For items 8 and 9, list the following for each requested receipt and/or delivery point:

Note, for service under the IT -1 Rate Schedule, all points contained in the Master List of Interconnects

(MLI) as defined in Section 1 of the General Terms and Conditions are deemed to be valid receipt and/or

delivery point(s).

(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.