Elba Express Company, L.L.C.

Original Volume No. 1

 Contents / Previous / Next / Main Tariff Index

Effective Date: 03/01/2010, Docket: RP10-342-000, Status: Effective

Original Sheet No. 108 Original Sheet No. 108

GENERAL TERMS AND CONDITIONS

APPENDIX A

TRANSPORTATION REQUEST FORM

Elba Express Company

Post Office Box 2563

Birmingham, Alabama 35202

Attention: Customer Services Department

Gentlemen:

The Shipper listed below hereby requests transportation services from Elba Express Company (EEC)

and is providing EEC the following information in connection with this request:

1. Shipper's full legal name: ______________________________________

Dun and Bradstreet number: ____________________________________________

2. Type of service requested is:

________new service

________new service obtained through permanent capacity release

________new contract to bid on temporary capacity release of firm transportation

________modification to existing service under Contract No. ______

and:

________firm transportation (FTS) (Code 1)

______

________interruptible transportation (ITS) (Code 2)

______

3. Date service is requested to commence: ______________________________

Date service is requested to terminate (for FTS Service):________________

To be a considered a valid request, ITS service must be requested to begin within 90 days of the

date of the request and firm transportation service must be requested to begin within 60 days of

the date of the request, except if the request involves the construction of facilities or the

issuance of any necessary certificate authorization to EEC, or is part of an open season under

Section 2.1(b)(iii) of these General Terms and Conditions.

4. Transportation Demand requested: __________MCF per day for FTS service

5. On the Attachment A hereto, for FTS service, provide the following information related to

each Primary Receipt Point into EEC's system from which firm transportation service is

requested. (Interruptible service shall include all available Receipt Points on EEC's system as

supplied by EEC on SoNet Premier):

-PI Grid Data Reference Number (DRN) for the Primary Receipt Point, if known, or EEC's Receipt

Point Code (if DRN is not known)

-Name of Primary Receipt Point