Pay a Bill / Report an Outage
|
Start Service
|
Peak Day Status
Home
My Cooperative
My Products/Services
My Energy
My News
My Community
FAQ
Contact
Careers @ PEC
Customer Information
Mr.
Mrs.
Ms.
S.S.#:
Alias
Nickname
Maiden Name
Date of Birth:
Spouse
Co-Applicant
Other
S.S.#:
Alias
Nickname
Maiden Name
Date of Birth:
Mail Bill To:
STREET
CITY
STATE
ZIP
Prop. Physical Address:
STREET
CITY
STATE
ZIP
Home Telephone Number:
(
)
-
OR
Message Number:
(
)
-
Mobile Number:
(
)
-
Fax Number:
(
)
-
Internet/E-Mail Address:
Applicant Employed By:
NAME
ADDRESS
TELEPHONE
(
)
-
(None if not employed)
Co-Applicant Employed By:
NAME
ADDRESS
TELEPHONE
(
)
-
Bank:
NAME
ADDRESS
CITY
STATE
Bank Account Number:
Savings
Checking
Nearest Relative (Not Living in Household):
NAME
RELATIONSHIP
Address:
Home Telephone Number:
(
)
-
Other Relative:
NAME
RELATIONSHIP
Address:
Home Telephone Number:
(
)
-
Do you own or rent this location?
Own Property
Rent/Lease
Landlord's Name (if renting)
Will you reside at this location?
Yes
No
Please provide any Meter or Pole Tag ID
numbers at the location(s) to connect/transfer:
What Date will you be taking over the service?
Would you like a security light connected at this location?
Yes
No
(Security light cost is $4 per month plus the cost of monthly energy usage if installed on existing PEC poles.)
Name of Last Resident?
(If Known)
Comments
Previous Address for Past Three Years:
STREET
CITY
STATE & ZIP CODE
HOW LONG?
STREET
CITY
STATE & ZIP CODE
HOW LONG?
I/We
certifies that the information provided is correct and authorizes the Cooperative to seek past credit history and to release credit history for future inquiries. Consumer agrees to the terms of this Application and Agreement on today's date
Home
|
My Cooperative
|
My Products/Services
|
My Energy
|
My News
|
My Community
|
FAQ
|
Contact
|
Careers @ PEC
|
Hidden Pages
Copyright © 2021 People Electric Cooperative | All Rights Reserved
Site Development:
Cantrell Solutions
|
Admin