Application for Electric Service – Southwest Tennessee Electric Membership Corporation

Service Information

Service Type(Required)

Individual

Commercial

Service Options(Required)

Traditional

FlexPay

Traditional Service With a traditional service, you will receive a bill each month for the energy that you use. This service type requires a $450 deposit. FLEXPAY On Flexpay, you can pay as you go. Once you put money in your Flexpay account, your service will begin. You will be notified when the balance gets low. Flexpay accounts do not require a deposit.

Applicant Information

Business Name(Required)

Applicant Name(Required)

First Middle Last

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Applicant Phone(Required)

Applicant Mobile Phone

Applicant Email(Required)

Business EIN(Required)

Applicant Social Security Number(Required)

Applicant Drivers License Number(Required)

Photo of Applicant's Drivers License(Required)

Accepted file types: jpg, png, pdf, Max. file size: 8 MB.

Please include a photo of the front of your drivers license.

Photo of Applicant's Secondary Form of Identification(Required)

Accepted file types: jpg, png, pdf, Max. file size: 8 MB.

Please upload a photo of a secondary ID. This may include a passport, social security card, voter registration card or insurance card.

Will you have a co-applicant?(Required)

Yes

No

Co-Applicant Information

Co-Applicant Name

First Middle Last

Co-Applicant Social Security Number

Co-Applicant Drivers License Number

Photo of Co-Applicant's Drivers License(Required)

Accepted file types: jpg, png, pdf, Max. file size: 8 MB.

Please include a photo of the front of your drivers license.

Photo of Co-Applicant's Secondary Form of Identification(Required)

Accepted file types: jpg, png, pdf, Max. file size: 8 MB.

Please upload a photo of a secondary ID. This may include a passport, social security card, voter registration card or insurance card.

Co-Applicant Phone

Co-Applicant Mobile Phone

Co-Applicant Email

Service Information

Type of Service(Required)

Home

Shop/Barn

Well

Other

Address of New Service

Street Address Address Line 2 City State ZIP Code

Date New Service Requested(Required)

Is there other information that will be useful to our service crew?

Terms and Conditions

Application Agreement(Required)

I agree to the terms and conditions of Southwest Tennessee Electric Membership Corporation

The undersigned (hereinafter called the “Applicant”) hereby applies for membership in, if not a member, and also applies for electric service and agrees to purchase electric energy from Southwest Tennessee Electric Membership Corporation (hereinafter called the “Distributor”), upon the following:

1.TERM. The acceptance of this application by the Distributor shall constitute an agreement between the Applicant and the Distributor and shall be- come effective as of the application date, provided, however, that all provisions hereof relating to the availability of and payment for energy shall become effective at the earliest date at which the Distributor is ready to deliver energy and the Applicant is ready to take such energy, and shall be renewed from month to month thereafter until such time as it shall be terminated in a manner consistent with the bylaws and policies of the Distributor. This agreement shall supersede any and all powers of prior agreements.

2.MEMBERSHIP. If not a member, the Applicant will pay the sum of $5.00, which, unless this application is rejected by the Distributor, will constitutethe Applicant’s membership fee. The applicant will comply with and be bound by the provisions of the Articles of Incorporation and Bylaws of the Distributor, and such Rules and Regulations as may from time to time be adopted by the Distributor. By becoming a member, the Applicant assumes no liability or responsibility for any debts or liabilities of the Distributor, and it is understood that his private property is exempt from execution for any such debts or liabilities.

3.DELIVERY. The Distributor will supply and the Applicant will take and pay for all the energy required for the operation of the load at the serviceaddress listed below. The energy supplied to the Applicant hereunder will be metered at the low-voltage side of the step-down transformer or transformer bank(s) to be constructed, owned, and operated by the Distributor. The Distributor will install only such protective devices as in its opinion are necessary for protection for its facilities supplying energy.

4.FEES. Applicant shall pay Distributor for energy furnished in accordance with the rates, charges, and provisions of the prevailing rate schedule asmodified or replaced from time to time by agreement between the Distributor and its power supplier. Applicant shall pay deposits and fees as described in Distributor policies and Bylaws. The Applicant agrees that any collection fees, including attorney and court costs, incurred by the Distributor for collection of past due amounts may be added to the Applicant’s account.

5.EASEMENT. Applicant shall furnish the Distributor gratis with a suitable site, for the period hereof, the facilities installed thereon to be considered thepersonal property of the Distributor. The Distributor shall have free right of ingress and egress on said site, and Applicant shall supply right-of-way over Applicant’s property to such site. Applicant shall, upon request of the Distributor, grant easement over, on, and under such lands owned or leased by or mortgaged to Applicant as the Distributor may require to furnish energy to Applicant or other applicants or members.

6.JOINT AND SEVERAL. In the event this application is for joint membership and is accepted as such by the Distributor, all parties agree that each shall be jointly and severally liable for any and all obligations, financial or otherwise, which may exist between the parties and the Distributor, regardless of whether or not the Joint members share a spousal relationship at such time as any obligation to the Distributor may occur.

7.RULES AND REGULATIONS. Applicant agrees that this application is subject to the Distributor’s Rules and Regulations. Rules and Regulations are subject to amendment without notice. Copies of current Rules and Regulations are available here.

8.ASSIGNATION. This agreement shall inure to the benefit of and be binding upon the respective heirs, legal representatives, successors and assigns of the parties hereto, but is not assignable by Applicant without written consent of the Distributor.

Applicant Signature(Required)

Co-Applicant Signature

Date(Required)

Confirmation

Please take a moment to confirm your information. If everything is correct, please click Submit.

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