Customer Application And Credit Policy

APPLICANT: fill in this section for the purpose of opening this account.

How Would you like your statements Delivered:

OTHER INCOME: you do not have to list income derived from a spouse or former spouse including alimony, child support or maintenance unless you want to us to consider it for the purpose of opening this account.

CO-APPLICANT: fill in this section only if you want it considered for the purpose of opening this account.

CREDIT USED FOR: (Please Check All That Apply)

I agree that the following terms will govern any purchases made which are charged to any account that I may have with Co-Energy Alliance, LLC

1. I will pay the entire balance due within 30 days of the billing date and I understand that if any portion of my balance remains unpaid for more than 30 days I will be placed on a cash basis until that amount is paid in full.

2. I understand that a finance charge of 1.50%, which is an annual percentage rate of 18%, will be applied to any balance that resulted from purchases made during a calendar month, but not paid before the last of the following month, plus any previous balance that remained unpaid.

3. Payments shall be applied first to the unpaid finance charge, then to the remaining outstanding balance.

4. In the event that collection proceedings must be instituted to collect any balance due, I may be subject to statutory court costs and attorney fees.

5. Co-Energy Alliance has the right to amend the terms and conditions of this agreement by advising me of their intentions to do so in a manner and to the extent required by applicable law.

6. If applying for a joint account, both of us agree to be bound by the terms of this agreement and each of us agree to be jointly and severally liable for payment of all purchases made under this agreement.

7. Co-Energy Alliance shall have the right to limit or terminate my charge account, but termination shall not affect my obligation to pay an existing balance. If I have not paid the amounts billed on two occasions within a 12 month period and fail to cure the default within 15 days after Co-Energy Alliance sends me a written default notice, Co-Energy Alliance may at their option declare the entire balance due and payable.

Everything that I have stated in this application is correct to the best of my knowledge. I understand that Co-Energy Alliance will retain this application whether or notit is approved. Co-Energy Alliance is authorized to check my credit and employment history and to answer any questions about their credit experience with me.

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PHONE: 920-994-4125

Toll FREE: 1-866-553-8853

606 TOWER AVE, ADELL, WI 53001

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