Tennessee Gas Pipeline Company

FIFTH REVISED VOLUME NO. 1

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

Original Sheet No. 513C.01 Original Sheet No. 513C.01

SERVICE REQUEST FORM

(PARK AND LOAN)

(continued)

II. Term PAL Services

A. Term Park Service

Term Park Charge

(cents per dth per day for the term of agreement) _________________

Point of Transaction _________________

Maximum Daily Maximum Daily

Beginning Ending Term Park Maximum Quantity Delivered Quantity Received

Date Date Quantity to Transporter from Transporter

Dth Dth Dth

__________ __________ ____________ ____________ ____________

B. Term Loan Service

Term Loan Charge

(cents per dth per day for the term of agreement) _________________

Point of Transaction _________________

Maximum Daily Maximum Daily

Beginning Ending Term Loan Maximum Quantity Received Quantity Delivered

Date Date Quantity from Transporter to Transporter

Dth Dth Dth

__________ __________ ____________ ____________ ____________

10. For service pursuant to Rate Schedule PAL, the Point of Transaction is: _______

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