TF03 127 0 05P126Original Sheet No. 127 TF04 TF05Edward C. McMurtrie, Vice President/General Manager TF06061193 GENERAL TERMS AND CONDITIONS (Continued) 25.4 STANDARD FORM FOR REQUESTING DELIVERY AND RECEIPT POINT CHANGES Shipper:__________________________________________________________________ Address:__________________________________________________________________ Contact Person:___________________________________________________________ Phone Number:_____________________________________________________________ Fax Number:_______________________________________________________________ Service Agreement number from which delivery or receipt points are to be changed: _______________ (Number that Shipper uses for nomination purposes) Date delivery or receipt point change is to begin:__________ Date delivery or receipt point change is to end:____________ Existing Delivery Point Replacement Delivery Point Volume (Dth) _______________________ __________________________ ____________ _______________________ __________________________ ____________ _______________________ __________________________ ____________ _______________________ __________________________ ____________ _______________________ __________________________ ____________ _______________________ __________________________ ____________ _______________________ __________________________ ____________ Existing Receipt Point Replacement Receipt Point Volume (Dth) _______________________ __________________________ ____________ _______________________ __________________________ ____________ _______________________ __________________________ ____________ _______________________ __________________________ ____________ _______________________ __________________________ ____________ _______________________ __________________________ ____________ _______________________ __________________________ ____________