Crossroads Pipeline Company

First Revised Volume No. 1

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

Original Sheet No. 543 Original Sheet No. 543 : Effective

BID FOR CAPACITY RELEASE

(Continued)

4. Term of Service

Beginning Date Ending Date

_____/____/____ _____/____/_____

_____ 5. Please enter the appropriate quantities.

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

6. Will a partial offer of the quantity bid be acceptable?

_____ Yes/No

_____ If Yes, please state minimum quantity acceptable.

For items 7 and 8, list the following for each requested receipt and/or delivery point:

(i) Receipt Point (ii) Dth/d

____________ ____________

(i) Delivery Point (ii) Dth/d

____________ ____________

General Comments

Bidder hereby certifies that the information contained in this Bid for Capacity Release is complete and

accurate to the best of Bidder's knowledge, information, and belief.

Requestor Company: ________________________________________________________________

Signed By: ________________________________________________________________________

Title: ____________________________________________________________________________

Date: _____________________________________________________________________________