Common use of Customer Signature Clause in Contracts

Customer Signature. I hereby certify that, to the best of my knowledge, all of the information provided in this application is true and I agree to the Terms and Conditions on the following pages: Interconnecting Customer Signature: Title (if Company): Date: Please return this document to: Marblehead Municipal Light Department, XX Xxx 000, Xxxxxxxxxx, XX 00000 Approval to Install Facility (For MMLD use only) Installation of the Facility is approved contingent upon the terms and conditions of this Agreement, and agreement to any system modifications, if required (Are system modifications required? Yes No ). Company Signature: Title: Date:

Customer Signature. I hereby certify that, to the best of my knowledge, all of the information provided in this application is true and I agree to the Terms and Conditions on the following pages: Interconnecting Customer Signature: Title (if Company): Date: Please return this document to: Marblehead Municipal Light Department, XX Xxx 000PO Box 369, XxxxxxxxxxMarblehead, XX 00000 MA 01945 Approval to Install Facility (For MMLD use only) Installation of the Facility is approved contingent upon the terms and conditions of this Agreement, and agreement to any system modifications, if required (Are system modifications required? Yes No ). Company Signature: Title: Date:

Customer Signature. I hereby certify that, to the best of my knowledge, all of the information provided in this application is true and I agree to the Terms and Conditions on the following pages: Interconnecting Customer Signature: Title (if Company): Date: Please return this document to: Marblehead Municipal Light Department, XX Xxx 000, Xxxxxxxxxx, XX 00000 (continued) Approval to Install Facility (For MMLD use only) Installation of the Facility is approved contingent upon the terms and conditions of this Agreement, and agreement to any system modifications, if required (Are system modifications required? Yes _ No ). Company Signature: Title: Date: