Cameron Interstate Pipeline, LLC

Original Volume No. 1

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Effective Date: 11/01/2008, Docket: RP08-647-000, Status: Effective

Original Sheet No. 212 Original Sheet No. 212

FORM OF SERVICE AGREEMENT

FOR RATE SCHEDULE FT

(continued)

EXHIBIT D

TO

SERVICE AGREEMENT UNDER

RATE SCHEDULE FT

BETWEEN

CAMERON INTERSTATE PIPELINE, LLC

AND

________________________ ("Shipper")

DATED _____________________________

Shipper Certification:

Shipper Name: ______________________________________________

By: ________________________________________________________

Title: _____________________________________________________

Date: ______________________________________________________