Monthly Storage Reservation Charge ______

($/Dth of MSQ)

Injection Charge: ______

Overrun Injection Charge: ______

Withdrawal Charge: ______

Overrun Withdrawal Charge: ______

Fuel Reimbursement Charge: ______


 

(c) Term of Service: _______________________

Commencement Date: _____________________

Termination Date: ______________________


 

For requested Interruptible storage services:

(a) Request Quantities

Maximum Storage Quantity (MSQ), Maximum Park Quantity (MPQ), Maximum Loan

Quantity (MLQ), or Maximum Balance Quantity (MBQ), as applicable

______

Maximum Daily Injection Quantity (MDIQ) ______

Maximum Daily Withdrawal Quantity (MDWQ) ______


 

Transporter Name: _____________________________________


 

(b) Rate Shipper proposes to pay for interruptible services under Rate

Schedules ISS, IPS, ILS, or IBS:


 

Charge for Interruptible storage, parking, loan, or balancing service, as

applicable ______________


 

Injection Charge: ______

Overrun Injection Charge: ______

Withdrawal Charge: ______

Overrun Withdrawal Charge: ______

Fuel Reimbursement Charge: ______


 

(c) Term of Service: _______________________

Commencement Date: _____________________

Termination Date: ______________________


 

Is Shipper affiliated with Freebird Gas Storage, LLC?

Yes _____ No _____

If yes, type of affiliation and the percentage of ownership between Freebird

and Shipper:

_______________________________________________________