Western Gas Interstate Company

Third Revised Volume No. 1

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Effective Date: 06/01/1993, Docket: RS92- 53-003, Status: Effective

Revised Original Sheet No. 400 Revised Original Sheet No. 400 : Superseded

TRANSPORTATION REQUEST FORM

Western Gas Interstate Company

504 Lavaca, Suite 950

Austin, TX 78701-2939

Attention: Transportation and Exchange Services

Re: ______New Service:

Interruptible Service:

______IT-N

______IT-S

______IT-DN

Firm Service:

______FT-N

______FT-S

______FT-DN

or:

______Modification of Existing Service:

Description of existing service to be modified:

_____________________________________________

_____________________________________________

_____________________________________________

Gentlemen:

________________________________ ("Shipper") hereby requests

transportation service from Western Gas Interstate Company

("Western") and concurrently provides the following information in

connection with this request: