K N Interstate Gas Transmission Co.

Second Revised Volume No. 1-A

Effective Date: 11/01/1994, Docket: RP94-397-000, Status: Effective

First Revised Sheet No. 31 First Revised Sheet No. 31 : Superseded

Superseding: Original Sheet No. 31

TRANSPORTATION SERVICE REQUEST FORM

SHIPPER INFORMATION

Complete Legal Name of Shipper: ___________________________________________

State of Incorporation: ____________________________________________________

Taxpayer I.D. No. _____________

Address: ____________________ For Billing: ______________________

____________________ ______________________

Phone: ____________________ Phone: ______________________

Fax: ____________________ Fax: ______________________

For Notices: For Scheduling and

Volume Information:

(include street address for express service)

Contact Name: _______________________ ______________________

_______________________ ______________________

Phone: _______________________ Phone: ______________________

Fax: _______________________ Fax: ______________________

Shipper is: ___ Local Distribution Company ___ Intrastate Pipeline

___ Interstate Pipeline ___ Producer

___ End User ___ Marketer

___ Other (specify) ____________________________________

Name and full title of representative who will execute the written firm

or interruptible transportation service agreement with Transporter (If

signatory person is not an officer, please provide written authorization

for signature.)

Name: _________________________________________________

Title: _________________________________________________

If person requesting service is an agent of Shipper, please provide

proof of authority to act as agent of Shipper and complete the

following: