Yes, I understand and accept this agreement. The information contained in this statement is for the purpose of obtaining funding from the Roughrider Electric Charitable Foundation, Inc. on behalf of the undersigned. The undersigned understands that the information provided is true and complete and warrants that the information provided is true and complete and that the Roughrider Electric Charitable Foundation, Inc. may consider this statement as continuing to be true and correct until a written notice of a change is provided. The Roughrider Electric Charitable Foundation, Inc. is authorized to make all the inquiries they deem necessary to verify the accuracy of the statements made herein.