4.  Is Customer affiliated with Seller?     YES _____     NO _____
             If yes, type of affiliation and the percentage of ownership
             between Seller and Customer_______________________________
   
   
         5.   Customer is a(n):  (Check One)
   
                   _____ Local Distribution Company      _____ Producer
                   _____ Intrastate Pipeline Company     _____ End-User
                   _____ Interstate Pipeline Company     _____ Marketer/Broker
                   _____ Other (Describe) __________________________________
   
         6.   Customer is Acting:  (Check One)
   
                   _____ for Itself
                   _____ as Agent for ________________________________________
   
         7.   This request is for:  (Check One)
   
                   _____ Firm Storage Service under Rate Schedule FS
                   _____ Interruptible Storage Service under Rate Schedule IS
   
         8.   Requested Storage Demand Withdrawal Quantity (SDWQ) (FS Only)
   
                   _____ Dekatherms per Day
   
         9.  Requested Maximum Storage Quantity
   
                   _____ Dekatherms (Shall not be less than 100,000 Dth,
                         except for volumes under Section 7 of Rate Schedule
                         FS.)
   
         10. Point of Injection  _______________________________
   
         11. Point of Withdrawal  ______________________________
   
         12. Term of Service:
   
             Date service is requested to commence:   ________________________
             Date service is requested to terminate:  ________________________
   
            (Agreements for FS shall commence on April 1 and terminate on
             March 31 of any following year, unless mutually agreed to
            otherwise.)