Central Time (CCT):
Voluntary Customer Consent

Transmission Customer Information
Voluntary Release Consent Agreement

("Customer") voluntarily authorizes Dominion Energy Carolina Gas Transmission, LLC ("Transmission Provider") to release its non-public customer information to: ("An affiliate of Dominion Energy Carolina Gas Transmission, LLC that employs or retains Marketing Function Employees").

Customer hereby acknowledges that Dominion Energy Carolina Gas Transmission, LLC did not offer any preferences, either operational or rate-related, in exchange for this voluntary consent.

Printed Name:
Title: