Commercial New Electrical Service Request | Rural Electric Cooperative

Please complete the form below, after we have received all the information we will be able to change/turn on/prepare to build this service for you. May be subject to an up-front deposit of the two highest bills and a $5 membership fee. For a new service the deposit is based on the size of the service and a $5 membership fee. Once we receive your completed application we will notify you of deposit amount along with the membership fee. The information requested below is of a confidential nature. Rural Electric Cooperative will use this information to assist in determining the security deposit to be paid for collection purposes. Any false information may result in the termination of your service. Please complete the form.

For additional information or assistance please contact REC at 800-259-3504 or 405-756-3104.

Date of Service Desired

(must be Monday through Friday not more than two weeks in advance. Please allow up to 72 hours for processing)

Meter Number

Service to be used for?

Service Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Identifying account or location name for each meter/service

Identifying account or location name for each meter/service 2

Identifying account or location name for each meter/service 3

Identifying account or location name for each meter/service 4

Identifying account or location name for each meter/service 5

Identifying account or location name for each meter/service 6

Identifying account or location name for each meter/service 7

Identifying account or location name for each meter/service 8

Name of Business

Phone Number

Phone Number Type

Business Type

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Former or Other Utility

Federal Tax ID Number

(No Dashes)

Please Provide a Copy of Your W-9

One file only.
100 MB limit.
Allowed types: , pdf, doc, docx, gif, jpg, jpeg.

Have you ever been a member of this Cooperative?

Yes

If yes, what year?

Is the Place of Business/Property Owned or Rented?

Owned

Rented

Name of Landlord, if rented

Landlord's Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Contact Person

First

Middle

Last

Job Title

Contact Person's Phone Number

Contact Person's Phone Number Type

Contact Person's Email Address

List officers, partners or owners (and any others you want to authorized to do business on your account):

Name

Job Title

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Name

Job Title

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Do you want to participate in Operation Round-Up?

Yes

If you check yes, you are agreeing to round your bill up to the next dollar amount. The money collected from rounding your bill up will go into our Operation Round-Up fund to help our neighbors in need.

Please Confirm

I have read and agree to the Terms and Conditions of Rural Electric Cooperative in Lindsay, Oklahoma. By submitting this application request, I grant permission for Rural Electric Cooperative, to obtain a credit report (if necessary) at no cost to the applicant(s). I/We understand if such credit report indicates, an additional security deposit may be required of the applicant(s). I/We agree, in order for Rural Electric Cooperative, our agents or contractors to service your account or to collect any amount you may owe, we may contact you by telephone which includes any telephone number associated with your account, wireless messages or emails, using any email address associated with your account. Methods of contact may include using pre-recorded or artificial voice messages and/or the use of an automatic dialing as applicable.

Additional Comments

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