Mississippi Canyon Gas Pipeline, LLC

First Revised Volume No. 1

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Effective Date: 11/01/2009, Docket: RP10-12-000, Status: Pending

Second Revised Sheet No. 318 Second Revised Sheet No. 318

Superseding: First Revised Sheet No. 318

SHIPPER NOMINATION FORM

Shipper Name:__________________________

Master Contract No.:___________________ Mississippi Canyon Gas Pipeline, LLC

Service Contract No.:__________________ Transportation Services

Type of Service:_______________________ 1100 Louisiana, Suite 3300

Effective Date:________________________ Houston, Texas 77002

End Date:______________________________ Phone:________________

Shipper Contact:_______________________ Fax:___________________

Title:_________________________________

Date:__________________________________

Phone No.:_____________________________

Fax No.:________________________________

Receipt Interest Supplier Receipt Upstream

Point Owner Dth Contract Meter

Meter Dth

Code

Delivery Delivery Downstream Make-up

Dth Contract Rank Volume