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. 71 Original Sheet No. 71 : Effective

GENERAL TERMS AND CONDITIONS

(Continued)

If yes, list the name of the supplier and the extent

of affiliation with VGS.

__________________________________________________

2. Requesting Party's Name: _________________________

(if different than Customer)

3. Customer Contacts:

Notices Invoicing Nominations

Name: ___________ _________________ ___________

Title: ___________ _________________ ___________

Street ___________ _________________ ___________

Address: ___________ _________________ ___________

Mailing ___________ _________________ ___________

Address: ___________ _________________ ___________

Telephone:___________ _________________ ___________

Fax: ___________ _________________ ___________

E-mail: ___________ _________________ ___________

24-Hour Contact: _________Telephone: ________________

Internet Address: ___________________________________

SERVICE INFORMATION

4. Request is for:

_____ New Service

_____ Amendment to Agreement No. ______________

5. Service Authority:

_____ NGPA Section 311 Service

_____ NGA Section 7(c) Blanket Authority (Part 284)