11.   Rate Information:
   
            Does Customer agree to pay the applicable Maximum Rate(s) for
            the service?
   
                      _________ Yes       _________ No
   
            If no, provide rate Customer will agree to pay for service
            requested, which shall not be less than the applicable Minimum
            Rate(s).
   
            FIRM
   
                  Deliverability - Monthly    ________
                  Capacity - Monthly          ________
                  Injection                   ________
                  Withdrawal                  ________
   
            INTERRUPTIBLE
   
                  Commodity Rate              ________
   
   
      12.   Certified Statement:
   
            By submitting this request, Customer certifies that Customer
            has or will have by the time of execution of an Agreement with
            Seller, title to, or the legal right to cause to be delivered
            to Seller, for Storage, the Gas which is to be stored and
            facilities or contractual rights which will cause such Gas to
            be delivered to and received from Seller.
   
      13.   Credit Evaluation: as required by Section 2.2(h) of the
            General Terms and Conditions of Sellers Tariff.
   
   
             THIS STORAGE SERVICE REQUEST IS HEREBY SUBMITTED this _____ day
            of ______________, _____.
   
            By ____________________________________________
   
            Telephone Number  (    )_______________________