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Yes I want to spread my propane costs over a 12 month period and receive the 50. 00 CREDIT Please enroll me in the MATHESON Valley Propane Auto/Budget Pay Program. I agree to all the terms as stated above. Propane Auto/Budget Pay Program Name Account Number Address Estimated Monthly Amt City/State/Zip Starting Date Free Enrollment I understand there is no fee or charge to enroll in the 50 Credit If I make all monthly budget payments per terms of this agreement MATHESON Valley will issue a 50. Propane Supply Protection MATHESON Valley will monitor my propane usage and maintain an adequate supply of propane in my tank provided my account is current. I agree to make my estimated minimum monthly payment th by the 10 of each month. Failure to pay two monthly budget payments will result in termination of this agreement. 00 credit onto my account in July to be used toward a future propane purchase. I understand that I must be enrolled in the Propane Auto/Budget Pay Program a minimum of 10 months prior to July to be eligible for the credit. Propane Supply Protection MATHESON Valley will monitor my propane usage and maintain an adequate supply of propane in my tank provided my account is current. I agree to make my estimated minimum monthly payment th by the 10 of each month. Failure to pay two monthly budget payments will result in termination of this agreement. Payment Adjustment and fluctuations in prices and reserves the right to adjust the estimated monthly payment. 6 Existing Agreement This agreement is intended to supplement my existing propane supply agreement and/or lease with MATHESON Valley. To the extent this agreement is not consistent with any other agreement between MATHESON Valley and me the terms of this agreement shall prevail. Upon termination of this agreement any existing propane supply and/or lease agreements with MATHESON Valley will remain in effect. 7 Termination Either MATHESON Valley or I may terminate this agreement at any time upon written notice. Upon termination any existing balances on account will be due immediately. This agreement will renew automatically for the next annual Budget cycle until terminated in writing by either party. 00 credit onto my account in July to be used toward a future propane purchase. I understand that I must be enrolled in the Propane Auto/Budget Pay Program a minimum of 10 months prior to July to be eligible for the credit. Propane Supply Protection MATHESON Valley will monitor my propane usage and maintain an adequate supply of propane in my tank provided my account is current. I agree to make my estimated minimum monthly payment th by the 10 of each month. Failure to pay two monthly budget payments will result in termination of this agreement. Payment Adjustment and fluctuations in prices and reserves the right to adjust the estimated monthly payment. 6 Existing Agreement This agreement is intended to supplement my existing propane supply agreement and/or lease with MATHESON Valley. To the extent this agreement is not consistent with any other agreement between MATHESON Valley and me the terms of this agreement shall prevail* Upon termination of this agreement any existing propane supply and/or lease agreements with MATHESON Valley will remain in effect.

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