UGI LNG, Inc

Original Volume No. 1

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Effective Date: 06/01/2009, Docket: RP09-365-000, Status: Effective

Original Sheet No. 82 Original Sheet No. 82

FORM OF SERVICE AGREEMENT

(Applicable to Service Under Rate Schedule LNG-F and LNG-I)

(continued)

ARTICLE III

RATES

Customer shall pay UGI LNG for service rendered hereunder

in accordance with UGI LNG's Rate Schedule [LNG-F / LNG-I] and as

specified in Appendix A to this Agreement.

ARTICLE IV

ADDRESSES

Except as herein otherwise provided, or as provided in the

General Terms and Conditions of UGI LNG's FERC Gas Tariff, any notice,

request, demand, statement, bill or payment provided for in this Agreement,

or any notice which any party may desire to give to the other, shall be

in writing and shall be considered as duly delivered when mailed by registered,

certified, or first class mail to the post office address of the parties

hereto, as the case may be, as follows:

(a) UGI LNG: UGI LNG Company

Attention: Facilities Manager

5665 Leesport Avenue

Temple, PA 19610

(b) Customer: ____________________________

____________________________

or such other address as either party shall designate by formal written notice.