Customer Signature. I hereby certify that: (1) I have read and understand the terms and conditions which are attached hereto by reference; (2) I hereby agree to comply with the attached terms and conditions; and (3) to the best of my knowledge, all of the information provided in this application request form is complete and true. Applicant Signature: Title: Date: ………………………………………………………………………………………………………
Appears in 3 contracts
Samples: www.midamericanenergy.com, wwwqa.midamericanenergy.com, www.midamericanenergy.com
Customer Signature. I hereby certify that: (1) I have read and understand the terms and conditions which are attached hereto by reference; (2) I hereby agree to comply with the attached terms and conditions; and (3) to the best of my knowledge, all of the information provided in this application request form is complete and true. Applicant Signature: Title: Date: ………………………………………………………………………………………………………:
Appears in 2 contracts
Samples: mtcpu.com, www.comed.com
Customer Signature. I hereby certify that: (1) I have read and understand the terms and conditions which are attached hereto by reference; (2) I hereby agree to comply with the attached terms and conditions; and (3) to the best of my knowledge, all of the information provided in this application request form is complete and true. Applicant Signature: Title: Date: …………………………………………………………………………………………………………
Appears in 1 contract
Samples: www.icc.illinois.gov