Tuscarora Gas Transmission Company

Original Volume No. 1

Effective Date: 12/01/1995, Docket: CP93-685-003, Status: Effective

Original Sheet No. 132 Original Sheet No. 132 : Effective

SERVICE REQUEST FORM FOR

TUSCARORA GAS TRANSMISSION COMPANY

If Shipper is acting as agent in arranging this service, specify below

each principal (complete legal name, type of legal entity and state of

incorporation) and its respective type of company (Shipper must supply

agency agreements for each principal).

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5. Are additional or new facilities required to be installed or

constructed by any party which are necessary for receipt of gas by

Transporter or for delivery to and/or utilization of gas by the

Shipper or direct or indirect customers of the Shipper? If so,

please specify:

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6. Name and full title of officer (or general partner) of Shipper who

will execute the Transportation Service Agreement.

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