Southern Natural Gas Company

Seventh Revised Volume No. 1

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Effective Date: 09/22/2004, Docket: RP04-494-000, Status: Effective

Third Revised Sheet No. 281 Third Revised Sheet No. 281 : Effective

Superseding: Second Revised Sheet No. 281

GENERAL TERMS AND CONDITIONS

(Continued)

APPENDIX J

SERVICE REQUEST FORM

(PARK AND LOAN)

Southern Natural Gas Company

P. O. Box 2563

Birmingham, Alabama 35202-2563

Attention: Customer Services Department

Re: ________ New PAL Service

or

________ Modification or Extension of Existing PAL Service

(Description of existing service to be modified:

________________________________________________

________________________________________________

________________________________________________

Gentlemen:

The Shipper listed below hereby requests Park and/or Loan service(s) from Southern Natural Gas

Company (Southern) and is providing Southern the following information in connection with this

request:

1. Shipper's full legal name: _______________________________________________________

Dun and Bradstreet number: _______________________________________________________