Application Form For Parties Wishing To Offer, Render, Furnish, Or Supply Electricity Or Electric Generation Services To The Public In The Commonwealth Of Pennsylvania Page 28
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31Appendix G (Continued)
Page 2 of 3
3.
Special Terms and Conditions - List and explain all that apply.
Sign-up bonuses
Add-ons
Limited time offers
Other Sales Promotions
Exclusions
4.
Special Services - Provide explanation of price, terms and conditions, including advanced metering
deployment, if applicable.
5.
Penalties, Fees and Exceptions - List any that apply including a late payment charge. The print size for this
section must be larger than the print in the rest of the agreement.
6.
Cancellation Provisions - This category may consist of both customer initiated cancellation provisions and
supplier initiated cancellation provisions.
7.
Renewal Provision/Agreement Expiration/Change in Terms
If you have a fixed term agreement with us and it is approaching the expiration date or if we propose to change
our terms of service, we will send you two advance written notices either in our bills or in separate mailings
between 45 and 90 days before either the expiration date or the effective date of the changes. We will explain
your options in these two advance notices.
8.
Dispute Procedures
Contact us with any questions concerning our terms of service. You may call the PUC if you are not satisfied after
discussing your terms with us.
9.
Contact Information
Generation Supplier Name:
__________________________________
Address:
__________________________________
__________________________________
__________________________________
Phone Number:
__________________________________
Internet Address:
__________________________________
Electric Distribution Company Name:
__________________________________
25
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