Scg Pipeline Inc.

Original Volume No. 1

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Effective Date: 11/01/2003, Docket: RP03-611-000, Status: Effective

Original Sheet No.251 Original Sheet No.251 : Superseded

REQUEST FORM FOR

CAPACITY RELEASE AGREEMENT

(continued)

Curtailment/OFO/Capacity Allocation

__________________________________________

__________________________________________

__________________________________________

Invoices:

____________________________________

____________________________________

____________________________________

Emergency Contact Person:

(1) _____________________________________

_____________________________________

_____________________________________

(2) _____________________________________

_____________________________________

_____________________________________

Emergency Email: _______________________________

Emergency Telephone No: _________________________

Facsimile Machine No: _________________________

4. Bidder is:

____ a local distribution company as defined by NGPA

Section 2(17)

____ an intrastate pipeline as defined by NGPA

Section 2(16)

____ an interstate pipeline as defined by NGPA

Section 2(15)

____ an end-user

____ a marketer

____ other (fill in) ____________________________

5. Submit Bidder’s most recent audited financial statements, annual report,

Form 10-K, three credit references, and a list of affiliates in compliance

with GT&Cs Section 2.5, in order for Pipeline to evaluate Bidder’s

creditworthiness.