Monthly Loan 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:                         _____________
22.8     Is Customer affiliated with Caledonia?
Yes ___  No ___
If yes, type of affiliation and the percentage of ownership between Caledonia
and Customer:22.9     Customer is a(n):     (Check
one)
   
_____________Local Distribution Company
_____________Intrastate Pipeline Company
_____________Interstate Pipeline Company
_____________Marketer/Broker Producer
_____________End User Other (please describe _____________)
22.10     Customer s address for statements and invoices:
   
   
   
Attention: _____________  Telephone: (     ) _____________