3.3 FORM OF SERVICE REQUEST

FREEBIRD GAS STORAGE, LLC

Send to: Freebird Gas Storage, LLC

Attn: Vice President, Marketing

20333 State Hwy 249, Suite 400

Houston, Texas 77070

Phone: (281) 374-3053

Fax: (281) 374-3088


 

INFORMATION REQUIRED FOR VALID STORAGE REQUEST


 

NOTE: Any change in the facts set forth below, whether before or after

service begins, must be promptly communicated to Freebird Gas Storage, LLC in

writing.


 

Potential Shipper’s name and address: (Note: the Shipper is the party that

has all lawful right and title to the Gas to be stored and that proposes to

execute a Service Agreement with Freebird Gas Storage,

LLC.)

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________


 

Attention: _______________ Telephone: _______________


 

This request is for: (check one)

_____ Firm storage service under Rate Schedule FSS


 

_____ Interruptible storage service under Rate Schedule ISS


 

_____ Interruptible parking service under Rate Schedule IPS


 

_____ Interruptible loan service under Rate Schedule ILS


 

_____ Interruptible balancing service under Rate Schedule IBS


 

For requested Firm storage service:


 

(a) Request Quantities


 

Maximum Storage Quantity (MSQ) _____

Maximum Daily Injection Quantity (MDIQ) _____

Maximum Daily Withdrawal Quantity (MDWQ) _____


 

Transporter Name: ____________________________________________________


 

(b) Rate Potential Shipper proposes to pay for storage service under Rate

Schedule FSS: