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REBATE APPLICATIONS | INTERCONNECTION | HOA <br />By signing below, I/we authorize Better Earth, Inc. and/or Better Earth Electric, Inc. to sign and submit any and <br />all applications, forms and agreements required to be completed by the Customer in connection with the <br />installation and implementation of the Products, including, but not by way of limitation, those required by the <br />local government agency(ies) and/or any Homeowners Association. I/we acknowledge that I/we authorize <br />Better Earth, Inc. and/or Better Earth Electric, Inc. to use the Customer’s digital signature(s) below, if necessary <br />and permitted by the regulations of the relevant local government agency(ies) and Homeowners Association, <br />solely for the purpose of one or more of such applications, forms and agreements. <br />Homeowner’s electronic signature: <br />Co-homeowner’s electronic signature: <br />Home Address: <br />___________________________Date: ___________________ <br />___________________________ Date: ___________________ <br />Contractor: Better Earth Electric, Inc., 1815 E. Wilshire Ave., Suite 908/909, Santa Ana, CA 92705| Phone # (888) 373-9379 | <br />License# 1024460 <br />Customer: ___________________ <br />22 <br />Corey Moore <br />2301 W Chandler Ave Santa Ana, CA 92704 <br />Corey Moore <br />June 4, 2022 <br />2301 W Chandler <br />Ave07/26/22