BUDGET BILLING PAYMENT PLAN

DATE:___________________

CUSTOMER NAME:____________________________________________________________

ACCOUNT NUMBER(S):_________________________________________

MAILING ADDRESS:___________________________________________________________

By signing this agreement for Budget Billing Payment Plan, you agree to pay each month, by the 15th, an amount equal to your total estimated yearly payments. However, if rates increase, the City may increase the amount of your payment accordingly. You also agree to stay on this plan for one year unless you move outside the City’s service area.

I,____________________________, agree to pay $___________ a month for eleven (11) months, beginning with the July 2006 utility bill. I understand that on or before July 15, 2007 any previous unpaid amounts and the current bill must be paid in full. I understand that if on July 01, 2007 I have a credit balance on my account, this amount will be refunded to me. I also understand that it is my responsibility to report any major changes in my household that would affect my electric consumption.

_____________________________

Signature of Customer

____________________________

Approved by

****NOTE: While participating in this program, your account must be paid by the 15th of each month. If your account becomes past due, the entire balance is due and payable and you will be terminated immediately from the program. Your power may also be turned off due to non-payment. Any and all late fees and penalties apply while participating in this
program.