Alabama-Tennessee Natural Gas Company

Second Revised Volume No. 1

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Effective Date: 09/01/1993, Docket: RS92- 27-003, Status: Effective

Original Sheet No. 206 Original Sheet No. 206 : Superseded

TRANSPORTATION SERVICE REQUEST FORM

Alabama-Tennessee Natural Gas Company

P.O. Box 918

Florence, Alabama 35631

Attention: Gas Transportation Service

Re: New Service Interruptible Service

or or

Modification Firm Service

of Existing Service

(Description of existing service to be modified:

Gentlemen:

(Shipper) hereby requests transportation service from Alabama-

Tennessee Natural Gas Company (Alabama-Tennessee) and concurrently

provides the following information in connection with this request:

1. Complete legal name of Shipper:

2. Type of legal entity and state of incorporation:

3. Type of Company:

Local Distribution Company

Intrastate Pipeline

Interstate Pipeline

Producer

End-User

Marketer

Broker

Other (fill in)