Quality Delivery, Services and Applications by Local Propane Professionals - Responsive and Customer Centric Company Values -

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1 propane? we deliver... Quality Delivery, Services and Applications by Local Propane Professionals - Responsive and Customer Centric Company Values - Tank to Appliance Services Available For Customers 24/7 - Locally Owned and Operated For Over 70 Years - Now Proudly Serving & Delivering To & Surrounding Areas! Local Propane Professionals Angel Fire - Showroom & Offices Box Agua Road T: or Raton/Cimarron - Office Box South Second Street T: or Visit Us on The Web The Northern Difference. Northstar Plaza 67 Highway 522 Suite C El Prado, NM T: or Box South Second Street T: or Join Us On Facebook At: Northern.New.Mexico.Gas Angel Fire - Eagle Nest - Red River - - Raton - Cimarron - - Pendaries - Wagon Mound - Springer - DesMoines/Capulin

2 NEW CUSTOMER INFORMATION Welcome to Northern (NORTHERN), a family owned business providing our customers with friendly and reliable propane delivery and service for nearly 70 years! Thank you for selecting us as your propane provider, we look forward to servicing all of your propane needs. Angel Fire 19 Agua Rd. T: or PHONE: Northern Contact Information Raton/Cimarron T: or T: or Office: Northstar Plaza 67 Hwy 522 Suite C El Prado, NM T: or Emergency Service or After Hours Delivery: 24 hours a day, 7 days a week by calling Emergency Out of Gas System Check - $85.00 and Emergency Delivery Fee - $ **Other fees may apply. Payments for services (to include propane deliveries, service calls, installation charges, tank lease, etc.) are due upon receipt of invoice. Payment Options: Cash. Credit Card payments can be made using the following cards: Visa, Mastercard, American Express and Discover. A signed authorization form allows NORTHERN to automatically charge your credit card at time of service, delivery or applicable charges. This option automatically sends an for charges applied. ACH drafts can also be made with a signed authorization form (Allowing for automatic payment from your bank account). Phone Payments may also be called into our office. Payments are also accepted at International Bank and Centinel Bank of branch locations. NSF Checks: A $25.00 service charge will be applied for Non Sufficient Fund Checks. Keep Full: Account is placed on a monthly route, insuring the deliveryman monitors tank level keeping the tank full. Will Call: A payment must be made PRIOR to dispatching the delivery. Customer is responsible for monitoring tank level and we encourage our customers to call our office when the gauge reads 30%. 4 working days are required prior to delivery. Additional cost will be incurred should your tank be out of gas (no pressure). If you are out of gas, our service technicians must conduct a system check and relight appliances so the customer must be home at the time of service. Rental Account: If you are renting your residence, we require $ deposit at the time your account is opened. This deposit is refundable at the time of final billing if the account is in good standing. As a renter, a payment must be made prior to delivery. Since payment must be made prior to delivery please set up an ACH/Credit Card account with our office. Please complete attached ACH Credit Card form. CASH payments may also be made at our offices. Meter Account: Meters are read monthly on the 25th. Usage based on meter reading includes a $6.50 monthly meter fee. Budget Billing Options: Requires the account to begin with a zero balance. Equal monthly payments are based on your annual propane usage. LINE-PRO: Total protection from the expense of damaged yard lines. Requires a current on file SYSTEM CHECK. Annual fee of $36.00 plus tax. Must be notified in writing for plan cancellation. Tank Lease Fee: A $60.00 annual rental fee billed for a leased propane tank. Tank size based on location and usage. Access to Property: NORTHERN reserves the right to refuse propane deliveries if we believe we cannot safely make delivery due to unsafe road conditions including ice and snow. The Customer is responsible for clearing the road or path to the tank to assure safe access. ALL Debris including: ice, snow, construction garbage, tree branches, etc. should be cleared. FAX:

3 NEW CUSTOMER INFORMATION p.2 Angel Fire 19 Agua Rd. T: or Northern Contact Information Raton/Cimarron T: or T: or Office: Northstar Plaza 67 Hwy 522 Suite C El Prado, NM T: or Propane Tanks: come in a variety of sizes - very BIG to very SMALL. The 20 lb. cylinder is typically used for a BBQ grill or an outdoor patio heater. The residential tank sizes that have been set by NORTHERN are 120 gallon; 250 gallon; 500 gallon and 1000 gallon tanks. When leasing a tank from NORTHERN, our Service Technicians will assist in determining the tank size and the tank set location to meet your needs. NORTHERN strongly recommends that you choose the NORTHERN tank lease and maintenance option for your protection and safety. Since propane tanks are designed to hold liquid propane under pressure, the tank s regulator, valves, fittings and seals need consistent monitoring. By leasing a NORTHERN tank, your tank is maintenance free and will be inspected by a trained technician at each delivery. Any repairs or replacement issues on the NORTHERN tank are taken care of FREE of CHARGE. And you gain the peace of mind that goes with knowing your tank is in top working condition. GAS Safety Check (System Check) This important safety inspection is performed by a NORTHERN Service Technician in approximately 60 to 90 minutes. Your system is tested for leaks and checked to ensure it meets all applicable Safety standards. This preventive maintenance safety check involves the tank, piping, regulators, gauges, connectors, valves, vents, thermostats, pilots, burners, and appliance controls. When completed, you can be assured that your propane system is safe and in good working condition. You, as the homeowner, will be asked to sign the completed System Check Form; a copy of this form will be retained in your customer file. Pre-Season Heating Special Propane appliances should only be repaired and serviced by State of New Mexico LP Certified technicians. NORTHERN services and repairs what it sells, and when we make that first delivery to your home, we will ask to set you up on the annual Pre-Season Heating program. We take pride in educating our customers on the fact that propane is a dependable, clean and 99% efficient fuel. We know how important regular system check-ups are for the heating system of a home. We offer the annual Pre-Season Heating check-up special which encourages our customers to plan ahead for the winter. NORTHERN Service Technicians will perform a comprehensive inspection of our customer s propane heating system, adjust and clean the burners and inspect the safety controls, venting and heat exchanger. This annual system maintenance special is recommended to keep you heating system running efficiently and to help you save money! Visit our NORTHERN website - www. NORTHERNnmGAS.com Whether you choose propane as your primary energy source, or you start with propane for gas logs, supplemental heating, or a tankless water heater, the benefits will add up quickly. NORTHERN offers a full selection of propane appliances; gas logs; 90% efficient, vented Mantis Fireplace; propane water heaters; and innovative products for your home. You can depend on our NORTHERN Service Technicians to provide superior delivery, installation and repair services. PHONE: FAX:

4 BUDGET BILLING Budget Billing allows residential customers to pay the same amount on their propane bill each month, which helps alleviate the effects of fluctuating energy prices by spreading costs evenly throughout the year. This monthly amount equals an average of the prior year s billing history and is rounded to the next dollar. BUDGET BILLING - THE NORTHERN DIFFERENCE Worry Free -- Automatic KEEP FULL deliveries: You DO NOT have to call us when you think you need propane - We keep your tank full No Finance Charges, FREE Enrollment There is NO COST to enroll and as long as your account is CURRENT, there are no finance charges. Automatic renewal each year - beginning June 1. The new monthly Budget Billing payment amount may be adjusted at this time due to changes in pricing and/or consumption in the prior twelve month period. Two Requirements must be met to be eligible for BUDGET BILLING: Monthly payments must be made by using one of the following Credit Cards: MasterCard, Visa, Discover, American Express OR Electronic Funds Transfer (EFT) provides the customer another option to make monthly payments from their account. Your existing account must have a ZERO balance PRIOR to the start of the Budget Billing plan and the account must be a KEEP FULL account. The Budget Billing plan is based on Eleven (11) Equal Monthly Payments, which are calculated by averaging the prior years consumption. If you are a new customer, an estimated amount will be determined based on the information available at the premise or by referencing your prior usage. This annual amount will be divided into Eleven (11) Equal Monthly Payments, the twelfth month will be the reconciliation month. The annual reconciliation for Budget Billing accounts will take place in May. At this time, the customer s account will receive any credit owed OR the customer s credit card/ bank account (EFT) will be charged with the balance due amount. Also, during the month of May, the customer s prior year usage will be calculated into the new monthly amount for Budget Billing for the new year. This could result in a higher or lower monthly budget billing amount. To take advantage of Budget Billing benefits, call us at 1. or One of our Customer Care Specialists will be happy to assist you. PHONE: FAX:

5 NEW CUSTOMER APPLICATION Customer Name: Mailing Address: City, State, Zip: Primary Telephone: Secondary Telephone: Address: Employer: Payment Type: Credit Card Bank Acct. Draft Check COD Property Caretaker/Contact: Propane Service Location: Tank Make: Tank Size: Serial Number: Name Address City Rent Own Previous Owner: If renting a tank, a $ rental deposit fee is also due prior to service. The deposit will be refunded upon seperation from Northern so long as the customer account associated with this application is in good standing and displays a $0.00 balance. Customer Lease Or Own: Customer Keep Full or Will Call: Notes: Leased Keep Full Customer Owned Will Call (Please Sign and Return Forms To one of The Office Locations Below or Scan and to: info@northernnmgas.com) Angel Fire 19 Agua Rd. T: or Visit Us Online: Customer Signature Raton/Cimarron T: or Date T: or Office: Northstar Plaza 67 Hwy 522 Suite C El Prado, NM T: or

6 ACH/CREDIT CARD AUTHORIZATION FORM Customer Name: Mailing Address: City, State, Zip: Primary Telephone: Address: Financial Institution Information for ACH Transactions. A VOIDED CHECK MUST BE SUBMITTED ALONG WITH THIS FORM IF USING ACH TRANSACTIONS Bank Name: Bank Address: Bank City, State, Zip: Bank Phone: Account Number: Account Type: Checking Savings Routing/Transit Number: Credit Card Information For Credit Card Charges Credit Card Type: Credit Card Number: Expiration Date: Name on Card: Billing Address For Card: (If different from Above) Delivery Address: City, State, Zip: Secondary Telephone: Visa Mastercard Discover American Express I authorize Northern (NNMG) to withdraw funds from my financial institution or make charges to my credit card in the amount of my periodic charges for propane services. This transaction will be initiated no sooner than the date of service. I understand that I control my payments, and if at any time I decide to stop or suspend the use of this payment option, I will notify NNMG immediately. I understand that if my automatic draft or credit card transaction is returned for non-sufficient funds or if the account is closed or if payment is refused for any other reason, I will be charged $35.00 per occurence and collection actions may be taken. (Please Sign & Return Forms To One of The Office Locations Below or Scan and to: info@northernnmgas.com) My signature below indicates that I have verified and confirmed that all of the information above is correct and I agree to the terms stated. Customer Signature Date Northern New Mexico Gas Co.Account Number Angel Fire Raton/Cimarron 19 Agua Rd. T: or T: or T: or Office: Northstar Plaza 67 Hwy 522 Suite C El Prado, NM T: or

7 LINE-PRO APPLICATION Northern s Outdoor Line Protection Plan (Line-Pro) Problems with your propane gas lines can occur at anytime and anywhere outside your home. A propane gas line problem can be extremely tricky to deal with and expensive to fix. Underground lines can deteriorate due to chemicals and fertilizers in the soil. Roots from nearby trees or shrubs can also cause damage to your lines. In addition to the risk of natural wear, lines can be accidentally damaged when digging, snowplowing, or during routine yard maintenance. Unfortunately in these situations the repair and maintenance of these underground propane lines is solely the reponsibility of the the homeowner. Repairing your outdoor propane lines can be very costly and inconvenient. With one phone call to Northern New Mexico Gas Company however, you can be assured of immediate, LP-Qualified Service Technicians responding to your emergency repair call. The Outdoor Line-Pro gives you total protection from the expense of any propane yardline damage. WHAT LINE-PRO DOES FOR YOU! Complete replacement of all damaged parts related to your outdoor propane line from the tank to the point of entry on your house, including regulators - NO CHARGE Service and labor for the repair of your damaged propane yardline between tank and house - NO CHARGE LP-Qualified Service Technicians will respond to your call, 7 days a week 24/hours a day. Our knowledge, skill and experience ensures a quick and accurate fix. NO CHARGE How to get started - Northern must first perform a System Check of your yard line and propane appliances, which will be a $85 charge, plus parts and labor, to bring your system up to code. If NORTHERN has conducted a system check within the last year, there WILL NOT be a charge. Once the integrity of your system has been proven, you are eligible to participate in our Outdoor Line-Pro Plan which has an annual fee of $36. Your LINE-PRO plan will automatically renew annually at the end of your enrollment month. Please contact us if you are remodeling, adding new appliances, or needing to upgrade your propane system NORTHERN NEW MEXICO GAS COMPANY ***** OUTDOOR LINE-PRO PLAN ***** YES! I want to enroll in the LINE-PRO PROTECTION PLAN for my delivery address: I understand that I will be billed $36.00 per year and that my protection will start as soon as you receive my payment. I also understand that the LINE-PRO PLAN will automatically be renewed each year unless I call to cancel this protection. If there is any modification to my home s propane system, I agree to contact Northern. If modification is made to my propane system without approval by NORTHERN, this will void the LINE-PRO PROTECTION PLAN. Date Customer Name (Print) Customer Phone Customer Signature PHONE: Account Number FAX: REF 0515

8 SIGN UP FOR AUTO PAY Save Time Relax Your bill is paid automatically from your credit card or bank account each month. No need to worry about misplaced bills, due dates or late fees. Everything is digital - There is NO need to hunt down the envelopes or stamps. and NOW OFFERING - AUT REGISTER FOR ONLINE BILLING No Envelopes or Stamps PAY Reduce clutter and help the environment by reducing paper waste. e Bill Billing To Your Inbox Conveniently receive your bill in your inbox. Sign Up online at Your Local Propane Provider Detach and Mail In With Your Bill Or Drop By The Office. You May Also Call in Your Ebill or Auto Pay Information! To participate in the Auto Pay and/or Ebill program s the account owner can call to sign up or visit us online. You may also fill out the form to the right and return. One of our customer service specialists will call you to complete registration. Please mark the program(s) at you are interested in signing up for. Credit Card or ACH Auto Pay E-Bill I am interested in participating in the Northern Ebill and/or Auto Pay program. Please contact me so that I can complete my Auto Pay registration over the phone. The required information to sign up for Ebill is listed below. Customer Name: Account Number : Customer Phone : Address: On The Web Pendaries - Angel Fire - Eagle Nest - Red River - Questa - Raton - DesMoines/Capulin

9 Would You Like To Earn $300.00? With Our Propane Pals Referral Program It s Easy! The Northern Propane Pals Referral Program is a great way to earn a $100 credit towards your propane bill. It s our way of saying thank you for being such a wonderful customer! It s Easy, all you need to do is refer one of your friends, family, or neighbors to become a customer of Northern. Once we set a NNMG tank and receive payment for the first propane fill, your NNMG account will automatically be credited $ Refer 3 friends & receive a $ Credit!* It s that easy! * Referral eligibility is contingent upon qualifications set by Northern. Restrictions May Apply. Call Today To Sign Up Visit Us on The Web Join Our Conversation At: Northern.New.Mexico.Gas - Pecos - Wagon Mound - Springer - - Cimarron - Angel Fire - Eagle Nest - Red River - Raton - DesMoines/Capulin Detach and Mail In With Your Bill Or Drop By The Office. You May Also Call in Your Propane Pal Contact Information! PROPANE PALS Referral Program Current NNMG Customer : New Customer Referral Name : Service Address : Mailing Address : New Customer Phone : Section Below To Be Filled Out By Northern New Mexico Gas Co. Representative Customer Owned Tank : Tank Lease : Tank Size : Total Gallons Delivered On First Fill : First Fill Paid: Credit Card : Other Minimum Fill : 80% ACH : Notes: Information Taken By: Date : Northern s PROPANE PALS Customer Appreciation and Referral Program Referral eligibility is contingent upon qualifications set by Northern. Restrictions May Apply. Call Today To Sign Up Visit Us on The Web Join Our Conversation At: Northern.New.Mexico.Gas