AVERAGE PAYMENT PLAN MEMBER NOTICE OF TERMINATION

Effective this date,

I hereby notify Fayette Electric Cooperative, Inc. that I wish to terminate the Average Payment Plan Agreement on my electric service account #

I understand that the Cooperative requires payment in full if the payments I have made under the Average
Payment Plan are less than the amounts which would have been billed.

Member’s Signature

Date

Member’s Printed Name

Phone No. (Home)

Phone No. (Cell)

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AVERAGE PAYMENT PLAN MEMBER NOTICE OF TERMINATION

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