Millennium Pipeline Company, L. L. C.

Original Volume No. 1

Effective Date: 07/01/2009, Docket: RP09-633-000, Status: Effective

First Revised Sheet No. 567 First Revised Sheet No. 567

Superseding: Original Sheet No. 567

REQUEST FOR SERVICE

(Continued)

4. a. If the request is for firm service or capacity release and assignment,

please answer the following:

_____ Parcel Number (required only for capacity release and assignment or

auction.)

_____ Bid Rate

b. State Bid Offer Contingencies

_______________________________________________

5. Term of service requested:

Beginning Date Ending Date Evergreen Clause

/ / / / (yes/no)

6. Please enter the appropriate quantities.

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

Schedules EXCEPT IPP.

MHRQ (Rate Schedule HT-1)__________ Dth

MHDQ (Rate Schedule HT-1)__________ Dth

Hourly Delivery Period (Rate Schedule HT-1)__________ Hours

_____ 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) Receipt Point (ii) Dth/d

_____________ _______________