Cove Point LNG Limited Partnership

Second Revised Volume No. 1

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Effective Date: 06/14/2000, Docket: RP00-389-000, Status: Effective

Original Sheet No. 207 Original Sheet No. 207 : Effective

REQUEST FOR SERVICE FORM

(Continued)

2. IDENTITY OF BUYER

A. Legal Name:

B. Mailing Address:

C. Street Address:

(if different from B, no P.O.

Boxes)

D. Billing Address:

(if different

from B)

E. Energy Information Administration (EIA) Code

(if known)

F. Contact Person: (Name)

(Phone)

(Fax No.)

G. State of Incorporation/Business Type

(State)

(Type, e.g. corporation,

general partnership)

H. Buyer is:

1. Local Distribution Company

2. Intrastate Pipeline Company

3. Interstate Pipeline Company

4. Enduser

5. Producer

6. Marketer

7. Other: