GENERAL TERMS AND CONDITIONS
23.4  Requested Interruptible Hub Services:
(a) Requested Quantities
Maximum Storage Quantity (MSQ)              Maximum Daily Injection Quantity
(MDIQ)     Maximum Daily Withdrawal Quantity (MDWQ)    (if applicable)
applicable)
Transporter Name: ____________________________________________________
Maximum Daily Receipt Quantity (MDRQ)       Maximum Daily Delivery Quantity
(MDDQ)      ______
(b)  Rate Customer proposes to pay for Interruptible services under Rate
Schedules IP, IW, IL, IBT, or IB:
Charge for Interruptible parking,wheeling, loan, imbalance trading, or
balancing service, as applicable          ____________
($/Dth of MDTQ or MDWQ, as applicable)
(c) Term of Service:  ___________ Commencement Date:___________ Termination
Date: ___________
For Interruptible wheeling service:  Complete the information requested for the
applicable pipeline.  The Maximum Daily Receipt Quantity must equal the Maximum
Daily Delivery Quantity.  Only one Point of Receipt and one Point of Delivery
per request.  Use a separate request for additional transportation service
needs.
23.5  Is Customer affiliated with Liberty ?
Yes            No
If yes, type of affiliation and the percentage of ownership between Liberty
and Customer: _________________________
23.6  Customer is a(n):  (Check one)
___________Local Distribution Company
___________Intrastate Pipeline Company
___________Interstate Pipeline Company
___________Marketer/Broker Producer
___________End User Other (please describe ___________)