Discovery Gas Transmission LLC

Original Volume No. 1

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Effective Date: 11/10/1997, Docket: CP96-712-002, Status: Effective

Original Sheet No. 270 Original Sheet No. 270 : Effective

DISCOVERY GAS TRANSMISSION LLC

REQUEST FOR SERVICE

SHIPPER INFORMATION

1. Shipper's Name: _______________________________________

(legal name of signatory party)

State of Incorporation: _______________________________

(if applicable)

(Or) Other Legal Description: _________________________

(e.g., partnership)

Shipper is: (check one)

_____ LDC/Distributor _____ Intrastate Pipeline

_____ Producer_____ Interstate Pipeline

_____ End User_____ Marketer

_____ Other: __________________________________________

Is Shipper affiliated with Discovery Gas Transmission LLC

(Discovery)?

______ Yes ______ No

If yes, list type and extent of affiliation.

_______________________________________________________

2. Requesting Party's Name (if different from Shipper):

___________________________

Is Requesting Party affiliated with Discovery?

_____ Yes_____ No

If yes, list type and extent of affiliation.

_______________________________________________________