Energy West Development, Inc.

Original Volume No. 1

 Contents / Previous / Next / Main Tariff Index

Effective Date: 02/26/2009, Docket: RP09-281-000, Status: Effective

First Revised Sheet No. 99 First Revised Sheet No. 99

Superseding: Original Sheet No. 99

SERVICE REQUEST FORM FOR

ENERGY WEST DEVELOPMENT, INC.

Telecopy No: __________________________________________________

9.

(a) Shipper Certification:

Shipper hereby certifies that Shipper has title or current contractual rights to

acquire title to the gas supply for which transportation service is requested,

and that Shipper has or will enter into all contractual arrangements necessary to

ensure that all upstream and downstream transportation is in place prior to the

date on which service is requested to commence.

______________________________________________

(b) Service Request By Affiliate of Transporter (if applicable)

Affiliation of Shipper with Transporter: _______________________________________