DOMINION SOUTH PIPELINE COMPANY, LP

CAPACITY RELEASE PROGRAM

APPROVED BIDDER LIST/SHELL AGREEMENT FORM

PLEASE RETURN COMPLETED REQUEST FORM AND CREDIT INFORMATION

TO:

DOMINION SOUTH PIPELINE COMPANY, LP

120 Tredegar St, 6^th Floor, Richmond, VA 23219

P.O. Box 26532, Richmond, VA 23261

ATTN: Terry Cole

I. I WOULD LIKE TO BE INCLUDED ON DSP’S APPROVED BIDDERS LIST

AND RECEIVE A CAPACITY RELEASE SHELL AGREEMENT.

COMPANY NAME: _________________________________________________

CONTACT: ________________________________________________________

ADDRESS: ________________________________________________________

__________________________________________________________________

PHONE NUMBER: ________________________ FAX: __________________

STATE OF INCORPORATION: _____________________________________

II. THE ESTIMATED DOLLAR AMOUNT MY COMPANY PLANS TO

UTILIZE IS $ ______________.

III. THE TYPE OF SERVICE THAT MY COMPANY WILL BE BIDDING ON IS AS FOLLOWS:

_________ FIRM TRANSPORTATION SERVICE

(THIS INFORMATION WILL ONLY BE USED FOR CREDIT EXPOSURE PURPOSES)