Application for Residential Service

If this is to be a joint membership as defined in Article I, Section 3 of the WOEC Bylaws, please provide both names.

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Is this application personal or for a business/organization?

Personal

Business/Organization

Organization/Business Name:(Required)

Primary Contact(Required)

First Last

TIN #(Required)

Upload Articles of Incorporation or Assumed Business Name Registration with the State

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Primary Applicant Name(Required)

First Middle Last

Date of Birth (mm/dd/yyyy)

Social Security Number(Required)

Driver’s License(Required)

Phone(Required)

Email(Required)

Is this application for a joint membership (spouse)?(Required)

Yes

Joint Applicant Name

First Middle Last

Date of Birth (mm/dd/yyyy)

Social Security Number(Required)

Driver’s License(Required)

Phone(Required)

Email(Required)

Requested Service Start Date (mm/dd/yyyy)(Required)

Service Location Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address(Required)

Same as previous

Renting

Landlord

Previous Electric Utility

How Long

Employer Information

Name

Phone

Would you like to participate in the Round Up program?

Upload Driver's License(Required)

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Driver's License State(Required)

Upload Joint Applicant Driver's License(Required)

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Joint Applicant Driver's License State(Required)

Agree & Submit

Applicant’s Signature (Full Name)(Required)

Joint Applicant’s Signature (Full Name)(Required)

WOEC Use Only

Member

Meter

Account

Map Location

Board District

County

Credit Check

Letter of Credit

Advanced Payment Amount

Co-Signer Name/Account

Membership Fee Paid/Billed/Transferred

Connect Fee Paid/Billed

Electric Service Agreement

Applicant and Joint Applicant above (hereinafter called "Applicant(s)") apply for an electric service connection and membership in West Oregon Electric Cooperative, Inc. (hereinafter called "Cooperative") and agree to purchase electric energy from the Cooperative. As additional consideration for the Cooperative providing such service, the Applicant(s) agree(s) to the following terms and conditions:

The Applicant(s) agree(s) to comply with and be bound by the provisions of the Cooperative's Articles of Incorporation, Bylaws, Service Rules and Regulations, and any amendments thereto made as may from time to time be adopted by the Board of Directors. A copy of the Bylaws and Service Rules and Regulations is furnished with this agreement and shall be considered a part of this agreement.

The Cooperative's appropriate Rate Schedule applies to everyone lawfully receiving electric service from the Cooperative. A copy of this document is furnished with this agreement and should be considered part of this agreement.

The Cooperative provides the same standard of service to all of its consumers. Applicants whose service requirements are different or more stringent than the service normally supplied to all consumers, the Cooperative will construct at the consumer's cost, facilities in such a way as to satisfy the consumer's special requirements, if feasible.

The Cooperative will use reasonable diligence to maintain uninterrupted service, but does not guarantee a constant or regular supply of electric energy and shall not be liable for damage due to variations or cessation of such supply.

The member should give immediate notice at the office of the Cooperative of any interruptions or irregularities in service or any known trouble, defect, or accident to the supply.

The Cooperative may interrupt service to any member for the protection of life or property, for making repairs, changes, or improvements in any part of its system for the general good of the service or safety of the public or when in Cooperative's sole judgment such interruption will prevent or alleviate an emergency threatening the integrity of its system.
Circumstances permitting, the Cooperative will give reasonable notice of any contemplated suspension of service.

The Applicant(s) shall pay to the Cooperative the sum of $1, which shall constitute the Applicant(s)'s membership in the
Cooperative.

The Applicant(s), in paying a membership, connection, or transfer fee, assume no liability or responsibility for any debt or liabilities of the Cooperative.

The Applicant(s) shall pay to the Cooperative the sum of $25, which shall entitle the Applicant(s) to 1 electric service
connection. The Applicant(s) agree(s) that no more than 1 residential unit shall be served through the electrical connection without prior consent of the Cooperative.

The Cooperative may require from all new Applicants an advanced payment of the greater of $100.00 or an amount equal to 2 times service location‘s 12-month average billing. After establishing a credit history with 12 consecutive months of prompt payments, the advanced payment may be credited back to the consumer's account. Alternatives to an advanced payment may be:
- A letter of good credit received from the Applicant(s) previousutility.
- An acceptable credit report. A nominal fee will be charged for credit report processing.
- A “Guarantee Agreement” form signed by a member in good standing.
  In any case, the Cooperative will refund any advance payment not so refunded on discontinuance of service and payment in full of all service charges and guarantees, or will deduct from the advance payment such amounts as are unpaid and refund the difference, if any.

In the event of default in payment of electric energy charges, or of any other amounts due the Cooperative, the Applicant(s) agree(s) to pay a late payment charge, and interest at the statutory rate, from the due date until paid. Imposition of such charges does not waive or supersede any other remedies available to the Cooperative, including, without limitation, disconnection. Further, in the event of any suit or action by the Cooperative for the recovery of any delinquent energy charges, the Applicant(s) agree(s) to pay such sum as the court may consider reasonable for attorney’s fees in addition to the court costs and other disbursements incurred at hearing, trial, and appeal thereof.

Applicant(s) consents to the use of provided email address for receipt of Cooperative communications.

Each consumer is responsible for providing an adequate, updated notice address to the Cooperative. In any instance where the Cooperative needs to, or is required to, notice the consumer pursuant to these policies or otherwise, notice shall be sent to the most recent address provided to the Cooperative by the consumer.

Acceptance of this application by the Cooperative shall constitute a binding contract for electric service between the Applicant and the Cooperative, which shall continue in force as long as the Applicant occupies, uses, or controls the premises described by this application.

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