Arlington Storage Company, LLC

Original Volume No. 1

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Effective Date: 08/24/2009, Docket: RP09-872-000, Status: Effective

Original Sheet No. 159 Original Sheet No. 159

GENERAL TERMS AND CONDITIONS

(Continued)

33.1 Prospective Customer's name and address: (Note: the Customer is the party that

has all lawful right and title to the Gas to be stored and that proposes to execute the

Storage Service Agreement with ASC).

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Attention: Telephone: ( )_______________________

33.2 This request is for: (check one)

______ Firm storage service under Rate Schedule FSS

______ No-notice storage service under Rate Schedule NNSS

______ Firm parking service under Rate Schedule FP

______ Firm loan service under Rate Schedule FL

______ Interruptible storage service under Rate Schedule ISS

______ Interruptible hourly balancing service under Rate Schedule IHBS

______ Interruptible parking service under Rate Schedule IP

______ Interruptible wheeling service under Rate Schedule IW

______ Interruptible loan service under Rate Schedule IL