Tennessee Gas Pipeline Company

FIFTH REVISED VOLUME NO. 1

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Effective Date: 09/01/1993, Docket: RS92- 23-012, Status: Effective

Original Sheet No. 508 Original Sheet No. 508 : Effective

SERVICE REQUEST FORM

Tennessee Gas Pipeline Company

P. O. Box 2511

Houston, Texas 77252-2511

Attention: Director of Marketing and Transportation Services

Re: ________ New Service ________ Rate Schedule IT

or

________ Modification of Existing Service ________ Rate Schedule FT-A

(Description of existing service to be modified:

________________________________________________ ________ Rate Schedule FT-G

________________________________________________ ________ Rate Schedule FT-GS

________________________________________________ ________ Rate Schedule FS

________ Rate Schedule IS

Gentlemen:

____________________________(Shipper) hereby requests transportation/storage service

from Tennessee Gas Pipeline Company (Tennessee) and concurrently provides the

following information in connection with this request:

1. Complete legal name of Shipper:

___________________________________________________

2. Type of legal entity and state of incorporation:

___________________________________________________

___________________________________________________

3. Type of company:

_______________ Local Distribution Company

_______________ Intrastate Pipeline

_______________ Interstate Pipeline

_______________ Producer

_______________ End-User

_______________ Marketer

_______________ Broker

_______________ Other (fill in)