T.W. Phillips Pipeline Corp.

Original Volume No. 1

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Effective Date: 01/01/2010, Docket: RP10-141-000, Status: Effective

Original Sheet No. 121 Original Sheet No. 121

T. W. PHILLIPS PIPELINE CORP.

FORM OF CAPACITY RELEASE REQUEST

(Continued)

Releasing Shipper, by the signature of its authorized representative, represents and certifies to

Transporter that (1) the individual signing below is authorized to sign this Release Request for

Releasing Shipper; (2) the information above is true, complete and correct; (3) Releasing Shipper

agrees irrevocably to release the transportation rights described herein on the terms and condi-

tions set forth herein if this Release Request is accepted by a Bidder to the successful Bidder;

and (4) if this Release Request includes a Pre-arranged Bidder, the Pre-arranged Bidder has

agreed irrevocably to accept the transportation rights described herein on the terms and condi-

tions set forth herein.

Submitted this ________ day of ________________________, 20___.

__________________________________________________________________

(Shipper)

By:_______________________________________________________________

Title:____________________________________________________________