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CC PACKET 05242016
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CC PACKET 05242016
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5/25/2016 1:54:57 PM
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<br />22 <br /> <br />Exhibit A <br /> <br /> <br /> <br />Insert form of Subscriber Agency Agreement and Consent Form as required by PPA <br /> <br /> <br />Solar*Rewards Community <br />Subscriber Agency Agreement and Consent Form <br /> <br /> <br />The undersigned (“Subscriber”) has a Subscription to the following Community Solar Garden: <br /> <br /> <br /> <br />By signing this Solar*Rewards Community Subscriber Agency Agreement and Consent Form, the Subscriber agrees to all of the <br />following: <br /> <br />Community Solar Garden Name: Community Solar Garden Address: <br /> <br />Community Solar Garden Operator: <br />Community Solar Garden contact <br />information for Subscriber questions and <br />complaints: <br /> <br />Address (if different from above); <br /> <br />_____________________________________ <br /> <br />_____________________________________ <br /> <br />Telephone number: ____________________ <br /> <br />Email address: ________________________ <br /> <br />Web Site URL: ________________________ <br /> <br />Subscriber Name: <br />Subscriber Service Address where <br />receiving electrical service from Northern <br />States Power Company: <br />Subscriber’s Account Number with <br />Northern States Power Company: <br /> <br />72
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