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*
   
                             *Storage Demand Withdrawal Quantity for all firm
                              services must be 1/70th of the Maximum Storage
                              Quantity.
   
      9.    Requested Maximum Storage Quantity
   
                  _____ Dekatherms (Shall not be less than 100,000 Dth,
                        except for volumes under Section 8 of Rate Schedule
                        FS.)
   
      10.   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)