NorAm Gas Transmission Company

Fourth Revised Volume No. 1

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Effective Date: 02/01/1995, Docket: RP94-343-000, Status: Effective

Original Sheet No. 329 Original Sheet No. 329 : Superseded

NORAM GAS TRANSMISSION COMPANY

_______________________________________________________________________________________

FORM OF REQUEST FOR POOLING SERVICE

Send To: NorAm Gas Transmission Company (NGT)

P. O. Box 21734

Shreveport, Louisiana 71151

Attention: Transportation & Exchange Dept.

Telecopier: (318)429-3965

CUSTOMER INFORMATION AND NOTICES

A. SHIPPER PERSON REQUESTING SERVICE

(Complete only if different from PM)

______________________________ ____________________________________

Company Name Name/Title

______________________________ ____________________________________

Address(include street address Company Name

for overnight deliveries)

___________ /___ /____________ ____________________________________

City State Zip Address

_______________ ______________ _____________ /_____ /______________

Phone Telecopier City State Zip

______________________________ __________________ _________________

Officer and Title (Signatory Phone Telecopier

Party to Contracts)

______________________________

State of Incorporation

B. POOL SCHEDULES & GENERAL NOTICES INVOICES & STATEMENTS

_________________________________ ____________________________________

Name/Title Name/Title

_________________________________ ____________________________________

Address Company Name

______________/____ /____________ ____________________________________

City State Zip Address

_______________ _________________ _______________ /___ /______________

Phone Telecopier City State Zip

C. 24-HOUR CONTACT

_________________________________ ____________________________________

Dispatcher Name Address

______________ __________________ __________________/____ /___________

Phone Telecopier City State Zip

_______________________________________________________________________________________