Tennessee Gas Pipeline Company

FIFTH REVISED VOLUME NO. 1

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Effective Date: 09/20/2004, Docket: RP04-463-000, Status: Effective

Eighth Revised Sheet No. 509 Eighth Revised Sheet No. 509 : Effective

Superseding: Seventh Revised Sheet No. 509

SERVICE REQUEST FORM

Tennessee Gas Pipeline Company

1001 Louisiana Street

Houston, Texas 77002

Attention: Director, Transportation Services

Re: ________ New Service ______ Rate Schedule IS

or ______ Rate Schedule IT

______ Rate Schedule IT-X

________ Modification of Existing Service ______ Rate Schedule PAT

(Description of existing service to be modified: ______ Rate Schedule PTR

______ Rate Schedule FT-A

__________________________________ ______ Rate Schedule FT-G

______ Rate Schedule FT-GS

__________________________________ ______ Rate Schedule FT-BH

______ Rate Schedule FS

__________________________________ ______ Rate Schedule SA

______ Rate Schedule FT-IL

______ Rate Schedule TTT

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

_______________ Pipeline Sales Operating Unit

_______________ Other (fill in)