Venice Gathering System, L. L. C.

Original Volume No. 1

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Effective Date: 01/01/1998, Docket: CP97-533-002, Status: Effective

Original Sheet No. 70 Original Sheet No. 70 : Effective

GENERAL TERMS AND CONDITIONS

(Continued)

5. REQUESTS FOR SERVICE

5.1 Request for Service Form

Each Shipper or Customer requesting firm

transportation service, interruptible transportation

service, title transfer service or pooling service hereunder

shall provide the following information:

1. Customer's Name: __________________________________

(legal name of signatory party)

State of Incorporation: ___________________________

(if applicable)

(Or) Other Legal Description: _____________________

(e.g., partnership)

Customer is: (check one)

_____ LDC/Distributor _____ Intrastate Pipeline

_____ Producer _____ Interstate Pipeline

_____ End User _____ Marketer

_____ Other: _____________________________________

Is Customer affiliated with VGS?

_____ Yes _____ No

If yes, list type and extent of affiliation.

__________________________________________________

Is the supplier of gas to be transported in any

transaction associated with this request affiliated

with VGS?

_____ Yes _____ No