Application for Electric Service Current Member & service information New service information Billing options Terms and conditions Complete Starting service for a(n) - Select -New constructionExisting service Date to begin service in my name Applicant Applicant Type Natural Person Organization Applicant name (first & last or business name) Applicant's social security # Needed for capital credit payments and credit references; information is kept confidential Federal ID # State of Incorporation Email address Primary phone # Type - Type -HomeOfficeCell Phone Secondary phone # Type - Type -HomeOfficeCell Phone Co-applicant Co-applicant name (first & last) Co-applicant email address Co-applicant's social security # Needed for capital credit payments and credit references; information is kept confidential Primary phone # Type - Type -HomeOfficeCell Phone Secondary phone # Type - Type -HomeOfficeCell Phone Service location Fire # and street name City, State, ZIP Code Own or rent Own or rent - Select -OwnRent Name and phone # of property owner Type of service Type of service - Select -Primary, full-time residenceSecond home/cabinCommercialFarmOther… Enter other… Billing address (if different from above) Mailing address City, State, ZIP Code
