APPLICATION FOR MEMBERSHIP

AND ELECTRIC SERVICE

Cherokee County Electric Cooperative Association

 

                                                                                                Location: _________________________________

Name:______________________________________         Account No: ______________________________

                The undersigned (hereinafter called “Applicant”) hereby applies for membership in and electric service from Cherokee County Electric Cooperative Association (hereinafter called “Cooperative”) subject to the following conditions:

 

1.        FEES:  Applicant agrees to pay the Cooperative all applicable fees and/or deposits as defined in the Cooperative’s Tariff adopted by the Board of Directors.

 

2.        RULES AND PROCEDURES:  Applicant agrees to comply with and be bound by the provisions of the Articles of Incorporation, Tariff, and By-Laws of this Cooperative of which he/she will be a Member, and such rules and regulations as may, from time to time, be adopted by the Cooperative, or as required by any regulatory authority exercising appropriate jurisdiction.   Said Articles of Incorporation, Tariff, and By-Laws are a part of this agreement to the same extent as if fully set out herein.  The Articles of Incorporation, Tariff, and By-Laws are on file and available at the Cooperative’s office in Rusk, Texas.

 

3.        PAYMENT:  Applicant agrees to purchase from Cooperative, at Cooperative’s standard rate for the type of service rendered to Applicant, all electric energy, electric services, and energy services to be used on the premises described.  All rates are subject to change or amendment by resolution of the Board of Directors as adopted through procedures established by the Texas Legislature.  Applicant shall pay to the Cooperative such minimum amount per month, regardless of the amount of electric energy consumed, as shall be fixed by the Board of Directors from time to time.  Applicant shall also pay all amounts owed by him to the Cooperative when due and payable as defined in the Cooperative’s Tariff and indicated on the monthly bill.

 

4.        EASEMENTS:  Applicant hereby grants the Cooperative, its employees, and authorized agents, the right and easement to construct, upgrade, operate, remove, repair, and maintain meters, lines, poles, transformers, or other electric equipment necessary for the provision of electric service, on the premises herein described and in or upon all streets, roads, or highways abutting said premises, its lines, and equipment.  Applicant will also execute and deliver to the Cooperative any conveyance, grant, or instrument, which the Cooperative shall deem necessary or appropriate to provide the services, described above.  The Applicant also grants the right to cut, trim, or otherwise control trees or vegetation as the Cooperative deems necessary to keep them clear of all parts of the electric system.

 

5.        IRREGULARITIES:  Applicant agrees that he/she will immediately report to the Cooperative any irregularities, malfunctions, abuse, or unauthorized tampering with the Cooperative’s  meters, transformers, wire, or other electric facilities.

 

6.        APPLICANT’S INSTALLATION:  Applicant warrants that his/her installation (including all conductors, switches, equipment, wiring and protective devices of any kind) is constructed and will be maintained in accordance with the latest version of the National Electric Code of the American Fire Protection Association as well as applicable laws or ordinances. Applicant also acknowledges that the Cooperative’s responsibility ends at the Cooperative’s meter and the Applicant is responsible for any installation on their side of the meter.

 

7.        POWER SUPPLY:  The Cooperative shall use reasonable diligence to provide a constant and uninterrupted supply of electric power and energy hereunder.  If the supply of electric power and energy shall fail or be interrupted, or become defective through an act of God, governmental authority, action of the elements, public enemy, accident, strikes, labor trouble, required maintenance work, inability to secure right-of-way, or any other cause beyond the reasonable control of the Cooperative, the Cooperative shall not be liable therefor or for any damages caused thereby.

 

8.        VENUE:  Applicant agrees that proper venue for any action against the Cooperative is Cherokee County, Texas.  The only exception to venue in Cherokee County is when the action against the Cooperative is pursuant to the Public Utility Regulatory Act, which provides for venue in a place other than Cherokee County.

 

9.        ENTIRE AGREEMENT:  This application constitutes the entire agreement between the parties and supersedes all prior agreements between the Applicant and Cooperative for the service herein described.  Applicant agrees that, in entering into this agreement, applicant is not relying upon any representation, promise, or inducement, written or verbal, not contained herein.  Applicant acknowledges that he/she was given a copy of the Cooperative’s By-Laws and New Member Information Packet.

 

I certify that the above is true and fully understand that submission of false information on this application for service will result in denial of service or may cause service to be terminated.

 

Cherokee County Electric Cooperative Association                                        Applicant Signature:_____________________________________________________

 

 

By:_________________________________________________________                    Date:__________________________________________________________________

 

 

Application for Membership with Cherokee County Electric Cooperative Association

PLEASE PRINT                                                                                                          (For Office use only)

Acct. No.___________________

Location ___________________

Check Office Files: Yes/No

Ethnic Code: A B C D E

Con Fee ___________________

Sec. Dep. __________________
Other _____________________

Total _____________________
 
 


Name:____________________________________________________                                                                              (Last)                                      (First)                                     (M.I.)

                                       

SS#______-______-______ DL#____________________ State______                                                                                                                 

Physical Address: _______________________________________             

                        _________________________________________             

Billing Address:  _______________________________________                

                        _________________________________________                                                                                                             

Place of Employment____________________________________ Work Phone (      )_____-_________                

           

Desired Date ____________________ Home Phone (       )______-________ Cell Phone (      )______-_______

 

Spouse_________________________________________Place of Employment_________________________

 

SS#______-______-______ DL#____________________ State__________  Bus Phone (      )______-_______

 

Land Description: _______________acres located on N E S W side of HWY /FM /CR /Street ______________________________, approximately _______________ miles N E S W from the town of ___________________in ___________________ County.

 

Property Owner_____________________________ Nearest Neighbor(s)_______________________________

Address:             _____________________________                                _______________________________

                          _____________________________                                _______________________________

Phone No:         _____________________________            Last Tenant_______________________________

 

What type of service will this be?              Please circle which type applies:      HOME   (Brick or Frame)   /   BUSINESS    /    MOBILE HOME  (Single wide or Double wide)   /  TRAVEL TRAILER   /   METER LOOP   /   BARN   /    WELL PUMP    /    OTHER: ______________________________________________________

 

Color __________________ Trim Color ________________  Landmark_______________________________

 

Temporary / Permanent Service                Taxable / Tax Exempt                    Security Light:Yes/No

 

Meter Loop Size:_________Amp          A/C:  Central or Window                 Heating:  Central/ Panel/ Wall/ Gas

 

List any person(s) that will be living here:

 

1.  _________________________________________           2.   _________________________________________

 

3.  _________________________________________       4.  __________________________________________

 

EVERY ADDITIONAL TRIP TO CONNECT WILL BE $25 PER TRIP.

 

Members are required to read their meter and submit the reading to the Cooperative no later than the 20th of each month.  If we do not receive a reading for two consecutive months, the Cooperative will read the meter and you will be charged a $25 trip fee.