Aiken Electric Cooperative, INC.
Aiken |
New Ellenton PO BOX 411 - 319 Main St New Ellenton, SC 29809 803-652-2226 Fax 652-3518 |
Edgefield PO BOX 583 - 1195 Bauskett St Edgefield, SC 29824 803-637-3189 - 800-290-0413 Fax 637-3720 |
North |
APPLICATION FOR RESIDENTIAL MEMBERSHIP AND SERVICE (HTML Version) The undersigned hereby applies for membership in Aiken Electric Cooperative, lnc., (Herein called "Cooperative") the fee to be based upon the rate |
This is to be Membership of undersigned only
Applicant Signature___________________________________________ Printed Name _______________________________________________ Social Security Number________________________________________ Driver’s License Number _______________________________________ Address to be connected_______________________________________ Mailing Address: _____________________________________________ Primary E-mail Address: _______________________________________ Phone Number: H _____________ W ____________ C _____________ |
This is to be Joint Membership of married couple Spouse Signature_________________________ Spouse Printed Name______________________ Social Security Number_____________________ Driver’s License Number ___________________ City___________________ Zip_________ City ____________State _____ Zip_________ Secondary E-mail Address: _________________ Requested connection date ______________ |
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As an Aiken Electric Cooperative member, I may receive phone notifications including automated calls unless requested otherwise. |
White Black or African American (Not Hispanic or Latino) Hispanic or Latino |
Asian (Not Hispanic or Latino) American Indian/ Alaska Native (Not Hispanic or Latino) Native Hawaiian / Pacific Islander (Not Hispanic or Latino) Two or more races (Not Hispanic or Latino) |
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Membership fee |
$10.00 |
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Processing fee | $40.00 $65.00 (Same day connect) | ||
Security deposit |
$500.00
Credit report
Letter of credit
Member Cosigner
Prepaid Account
Other:
__________ (See below for explanations of deposit requirements.) |
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I am interested in the following options (see below for explanations of each program)
Explanation of Programs and Options |