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For Customer Participants who are choosing to have their utility rate schedule transitioned from their <br />rent rate to be billed at the existing rate plus the Supplemental Time of Day Rate in effect as of J. ary <br />0 <br />Customer <br />icipant: <br />Name of Partici ► , t Facility: <br />Address of Participan cility: <br />Current Snohomish PUD Ra - Schedule: <br />Date of Transition to TOD Supple .-ntal Rate: <br />, representing the above <br />med Snohoi 1 PUD Customer Participant, acknowledge <br />that by completing this hnrollment Form, authoriz: • . homish PUD to update my service rate schedule <br />to the Time of Day Supplemental Rate. I under .nd tha is rate change is in effect for a minimum of <br />six months from the above noted trsition date. I agree . • at should Participant decide to not <br />continue as part of the Opt -In in the OD Program, Participant will b <br />ble to exit the TOD program on <br />July or January 1" of any year . this TOD Program pursuant to the terms o he Supplemental "Time of <br />Day" Rate Schedule. <br />Siana <br />Title Date: <br />EXHIBIT 2 <br />CUSTOMER AUTHORIZATION TO RELEASE INFORMATION FOR NON-PUD BUSINESS <br />Time of Day Pilot Customer Participant Agreement -- Draft Execution Final Dec 2, 2022 5 of 6 <br />