Viking Gas Transmission Company

First Revised Volume No. 1

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Effective Date: 01/01/2000, Docket: RP00-110-000, Status: Effective

Second Revised Sheet No. 108 Second Revised Sheet No. 108 : Superseded

Superseding: First Revised Sheet No. 108

SERVICE REQUEST FORM (Continued)

Viking Gas Transmission Company

Page 2

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

correspondence for the following should be directed:

Contact For Request: _______________________________

_______________________________

_______________________________

_______________________________

Contact for Notices: _______________________________

_______________________________

_______________________________

_______________________________

Contact For Invoices: _______________________________

_______________________________

_______________________________

_______________________________

5. Shipper is seeking service by Viking pursuant to:

a) Subpart B of the Commission's Regulations, on behalf of a local

distribution company.

____________________________________________________

Name of Company/Companies

b) Subpart B of the Commission's Regulations, on behalf of an

intrastate pipeline.

____________________________________________________

Name of Company/Companies