Sabine Pipe Line Company LLC

Second Revised Volume No. 1

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Effective Date: 07/31/1993, Docket: RS92- 78-003, Status: Effective

Original Sheet No. 217 Original Sheet No. 217 : Superseded

SABINE PIPE LINE COMPANY

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 Sabine?

______ Yes ______ No

If yes, list type and extent of affiliation.

_______________________________________________________

2. Requesting Party's Name: _________________________

(if different than shipper)

Is Requesting Party affiliated with Sabine?

____ Yes ____ No

If yes, list type and extent of affiliation.

_______________________________________________________