Caledonia Gas And Storage

First Revised Volume No. 1

Effective Date: 09/30/2010, Docket: RP10-1032-000, Status: Effective

Original Sheet No. 126 Original Sheet No. 126

FORM OF REQUEST FOR SERVICE

(For Use Under Rate Schedules FSS, AISS, ISS, IPS, AILS, and ILS)

NOTE: Any change in the facts set forth below, whether before

or after service begins, must be promptly communicated to Caledonia

Energy Partners, L.L.C. in writing.

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 a Service Agreement with Caledonia Energy Partners, L.L.C.)

____________________________________________________________________

Attention: _______________ Telephone: _______________

D.U.N.S. Number: ___________________________________

This request is for: (check one)

_____ Firm storage service under Rate Schedule FSS

_____ Advanced interruptible storage service under Rate Schedule AISS

_____ Interruptible storage service under Rate Schedule ISS

_____ Interruptible parking service under Rate Schedule IPS

_____ Advanced Interruptible loan service under Rate Schedule AILS

_____ Interruptible loan service under Rate Schedule ILS

For requested Firm storage service:

Request Quantities

Maximum Storage Quantity (MSQ) _____

Maximum Daily Injection Quantity (MDIQ) _____

Maximum Daily Withdrawal Quantity (MDWQ) _____

Transporter Name: __________________________________________________

Receipt Point _______________

Delivery Point _______________

Rate Customer proposes to pay for storage service under Rate Schedule

FSS:

Monthly Storage Reservation Charge ______

($/Dth of MSQ)

Term of Service: _______________________

Commencement Date: _____________________

Termination Date: ______________________

For requested Interruptible storage services: