Residential Prepaid Service Agreement

I (member listed above) request that Wayne-White Counties Electric Cooperative (WWCEC) install a Residential Prepaid (Meters) Billing System at my location.

I have been provided a copy of the WWCEC Membership/Billing/Collections Policy #16 covering the Residential Prepaid (Meters) Billing System (PBS) and Pre-Pay Option Program, and I have had it explained to me. I understand how the PBS electric service and the Pre-Pay Option Program operate, and I understand the correct process to make payments to WWCEC for the advance purchase of PBS electricity credits and to accumulate a pre-paid balance of PBS electricity credits in an account for me at WWCEC from which my future use of PBS electric service will be deducted daily. I agree to abide by such WWCEC Policy #16 and all other policies, rules, and regulations applicable to all members of WWCEC.

I understand and realize that my failure to purchase in advance (pre-pay) sufficient PBS electricity credits to cover my future use of PBS electric service at my location will result in the immediate and automatic termination of PBS electric service at my location when the prepaid balance of PBS electricity credits in my account with WWCEC runs out (reaches zero), with no notice from WWCEC to me being required, regardless of existing weather conditions or other circumstances whatsoever. I agree that WWCEC will have no liability for the termination of PBS electric service at my location for my failure to pre-pay my use of PBS electric service. The daily customer charge will continue to be accumulated on my account and will be deducted from my next prepaid purchase or electrical service, unless a permanent disconnect is requested.

I represent to WWCEC that there are no persons with medical conditions or medical equipment requiring electricity at my location who would be adversely affected by the termination of PBS electric service at my location for any reason, and further I represent that I know of no other circumstances at my location, now existing or that may occur in the future, for which the termination of PBS electric service for any reason at my location would cause, or would be likely to cause, personal injury, including death, or property damage (referred to hereafter in this Request as "loss") to myself or other persons.

I understand that there is a risk of loss as a result of the use of PBS electric service at my location in the future if such PBS electric service is terminated for any reason. Knowing these risks, I voluntarily elect to participate in the WWCEC Pre-Pay Option Program and to use PBS electric service under WWCEC Policy #16 at my location, and I assume the full risks of any loss which may occur to me and other persons at my location as a result of my participation in the WWCEC Pre-Pay Option Program and in my use of PBS equipment or electric service, including but not limited to the automatic termination of PBS electric service at my location upon prepaid balance of my PBS electricity credits in my account at WWCEC being used up. Further, I hereby agree to indemnify and hold harmless WWCEC, and its members, directors, officers, employees and agents, who might be directly or indirectly liable, from the payment of liabilities, expenses, costs, and attorney's fees, arising from any claim or cause of action for any loss that I or another person may have that is related to my participation in the WWCEC Pre-Pay Option Program and my use of such PBS equipment and service, including but not limited to the automatic termination of PBS electric service at my location upon prepaid balance of my PBS electricity credits in my account at WWCEC being used up.

I agree to pay all standard fees and charges related to PBS electric service under rates and policies as the WWCEC Board of Directors shall approve from time to time.

I agree to reimburse WWCEC, at replacement cost, for damaged or destroyed equipment used to provide PBS electric service to me, and I agree to return to WWCEC all such PBS equipment upon termination of PBS electric service at my location.

I understand that if I request to quit the WWCEC Pre-Pay Option Program and cancel PBS electric service at my location, then I will not be permitted to receive non prepaid WWCEC electric service thereafter at my location, unless I must first meet all necessary WWCEC requirements for non prepaid electric service and pay all appropriate fees and/or deposits.

I hereby waive, relinquish and release all claims and causes of action that I may have against WWCEC, and its members, directors, officers, employees, or agents who might be directly or indirectly liable, for any loss to myself or other persons arising in any manner from my participation in the WWCEC Pre-Pay Option Program or my use of PBS equipment or electric service, including but not limited to, the automatic termination of PBS electric service upon the prepaid balance of my PBS electricity credits in my account at WWCEC being used up.

I understand that any warnings of the risks of participation in the WWCEC Pre-Pay Option Program or use of PBS electric service that I may subsequently receive and any future changes to WWCEC Policy #16 by the WWCEC Board of Directors will be incorporated by reference into this Request and will automatically become a part of this Request.