Maximum Daily Withdrawal Quantity Subject to the following Ratchets:
Storage Balance*
Percentage (%)
   
Storage Balance
(Dth)
MDWQ
Percentage (%)
Available Daily Withdrawal Quantity (ADWQ) (Dth)
   
0       to ____%
   
   
____ to ____%
   
   
____ to ____%
   
   
____ to ____%
   
   
____ to ____%
   
   
* - Storage Balance expressed as a percentage of MISC
(c)     Points of Receipt and Delivery
Receipt Point:      __________________                    ____
Delivery Point: _____________________________________________
(d)     Rate Customer proposes to pay for storage service under ISS Rate
Schedules:
   
Monthly Storage Capacity Charge ($/Dth):     _____________
Identify if Reservation or Volumetric charge applies:_____________
Injection Charge ($/Dth):                    _____________
Withdrawal Charge ($/Dth):                    _____________
Authorized Overrun Injection Charge ($/Dth):     _____________
Authorized Overrun Withdrawal Charge ($/Dth):     _____________
Fuel Reimbursement (% in kind):               _____________
(e)     Term of Service:                         _____________
Commencement Date:                         _____________
Termination Date:                         _____________