Failure to pay the full account balance within 30 days from date of delivery and or service shall result in a default and the assessment of a LATE PAYMENT and-or REBILLING FEE. The assessed fee shall be equal to the greater of 1 1/2% per month of the past due balance or $2.00 per balance.

To assure an adequate supply of L.P. GAS, I will allow and be responsible for deliveries of L.P. Gas without signature. I/We also acknowledge that service may be discontinued if payment is not made in accordance with your terms. This authorization and request for delivery remains in effect until revoked by me in writing.

The undersigned authorize the credit grantor to obtain credit reports for the purpose of evaluating credit performance in connection with the application. I have read and agree to all the terms and consitions of the agreement set forth . The information contained on the application is true and complete. note: An applicant though married, may apply for a seperate account in his or her own name.