Cove Point LNG Limited Partnership

Second Revised Volume No. 1

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Effective Date: 06/01/2003, Docket: CP01- 76-003, Status: Effective

First Revised Sheet No. 208 First Revised Sheet No. 208 : Effective

Superseding: Original Sheet No. 208

REQUEST FOR SERVICE FORM

(Continued)

3. AFFILIATIONS

A. Is Buyer an affiliate of Cove Point LNG? Yes No

B. If yes, identify:

C. Is gas to be transported/liquefied

purchased from a supplier/

marketer affiliated with Cove Point LNG? Yes No

D. If yes, identify supplier:

4. COMMENCEMENT DATE REQUESTED: / /

5. TERMINATION DATE REQUESTED: / /

6. FIRM QUANTITIES

A. Rate Schedule LTD-1 (MDDQ): _______dth/day

B. Rate Schedule FPS-1 (MDPQ): dth/day

C. Rate Schedule FPS-2 (MDPQ): dth/day

D. Rate Schedule FPS-3 (MDPQ): dth/day

E. Rate Schedule FTS (MFTQ): ___dth/day

7. INTERRUPTIBLE QUANTITIES

A. Rate Schedule LTD-2 (MDDQ): dth/day

B. Rate Schedule LTD-2 (MCSQ):_______________dth

C. Rate Schedule ITS (MFTQ): dth/day

8. RECEIPT POINT(S)

A. For each requested Receipt Point, list the following:

1. Receipt Measuring Station name.

2. Quantity to be delivered to Seller (Dth/day).

3. Name of upstream entity delivering gas.

Primary Receipt Point: 1.

2.

3.

Secondary Receipt Point: 1.

2.

3.