Customer Name_________________________________Account #_____________________

Address_____________________________________________________________________

1. The Cooperative will bill the Customer in equal monthly amounts for electric service taken by the Customer at his /her designated location.
2. The determination of the equal amount shall be the Cooperative’s responsibility based upon Customer’s use history; the Customer’s credit experience with the Cooperative; and information obtained from the Customer and from other sources about the future us of electricity of the designated location.
3. The Customer may withdraw from the program at any time. At termination, any deficit or credit balance will be applied to regular due date of the Customer’s account.
4. The Cooperative may terminate this agreement at any time for any violation of the cooperative’s service rules and regulations. Delinquent payments and /or dishonored checks presented by the Customer in payment of his/her accounts shall be conditions for which the Cooperative may terminated this agreement. Withdrawing credit balances also serves to terminate this agreement. The balance of all accounts terminated under these provisions shall be due and payable as described in item 3 above.
5. The Cooperative’s operating procedures related to Budget Billing shall be to evaluate the Customer’s account activity at least annually and make adjustments as needed in the equal payment amount. Actual audits may be more reasonably conducted twice each year to insure that the Customer is not going into a high use period with a large deficit balance.
6. The Customer agrees and understands that this payment plan in no way reduces the amount of charges for his/her actual electricity consumption.
7. This agreement is effective from the date below until terminated under a provision noted above or until the Customer terminates his/her electric service account. In all cases, the Customer acknowledges full liability for unpaid balances due the Cooperative; and the Cooperative is likewise, at termination, responsible to the Customer for returning credit balances in his/her account.

__________________________________________________ Signature of Applicant/Member Date