Tennessee Gas Pipeline Company

FIFTH REVISED VOLUME NO. 1

Effective Date: 10/01/2009, Docket: RP09-998-000, Status: Effective

First Revised Sheet No. 513B First Revised Sheet No. 513B

Superseding: Original Sheet No. 513B

SERVICE REQUEST FORM

(PARK AND LOAN)

(continued)

4. Name of Shipper's contact, address, telephone number, facsimile number and

e-mail address through which correspondence for the following should be

directed:

Contact For Request: ______________________________________

______________________________________

Contact For Notices: ______________________________________

______________________________________

Contact For Invoices: ______________________________________

______________________________________

(Tennessee reserves the right to require proof that Shipper's request meets the

requirements of the applicable Commission Regulations.)

5. If Shipper is requesting service be performed by Tennessee for Shipper acting

as agent for another entity, please specify the full legal name of such entity.

____________________________________________________________________________

6. Date service is proposed to commence:

____________________________________________________________________________

7. Term of service:

________________ months

________________ years