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. 86 Original Sheet No. 86

FORM OF SERVICE AGREEMENT

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

ARTICLE III

RATE

Customer shall pay UGI LNG for service rendered

hereunder in accordance with UGI LNG's Rate Schedule [LF-F / LF-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.