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Revised Original Sheet No. 420 Revised Original Sheet No. 420 : Superseded

RELEASED CAPACITY SERVICE

REQUEST FORM

Western Gas Interstate Company

504 Lavaca, Suite 950

Austin, TX 78759-78701

Attention: Transportation and Exchange Services

Re: Released Capacity Service - Rate Schedule RCS

Gentlemen:

________________________________ ("Bidding Shipper") hereby requests

approval from Western Gas Interstate Company ("Western") to

participate as a Bidding Shipper pursuant to Western's Released

Capacity Service and any firm transportation service resulting

therefrom, and concurrently provides the following information in

connection with this request:

1. Complete legal name and address of Bidding Shipper:

_______________________________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

2. Type of legal entity and state of incorporation:

_______________________________________________________