TURN OFF SERVICE

Name *

First

Middle

Last

Email *

Phone *

Alternate Phone

Service Address *

Address Line 1

Address Line 2

City

State

Zip Code

New Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employer *

Do you want your deposit and membership applied to your final bill? *

Date For Power To Be Turned Off *

Last 4 Numbers of Social Security Number *

This Is For Identification Purposes Only

File Upload *

Click or drag a file to this area to upload.

Please Attach A Copy Of Current Drivers License

I Agree To The Terms and Conditions *

I Agree

The undersigned (and spouse if applicable) (jointly the “Customer”) hereby applies to Marshall-DeKalb Electric Cooperative (“MDEC”) for membership and electric service and certifies the information provided to be correct. The Customer (and Spouse), jointly and severally agree to the following provisions: 1. At time of application, Customer will pay a refundable membership fee of $5.00 and a security deposit of $ (depends on credit check) ¬¬ which will be refundable, without interest, if not forfeited to pay for delinquent bill or other damages. Connection fees and construction fees are not refundable. 2. Customer will pay for all power and energy used at the property, as determined by MDEC, per the applicable rate schedule, as adjusted from time to time, plus a late charge of 5% if not received by MDEC (not merely postmarked) by the “Due Date” as indicated on the Customer’s bill, plus a fee of $3.00 if not received within 2 days after said Due Date. 3. MDEC is hereby granted an easement to install and maintain its equipment, to access its meter (24 hours per day) and to trim and/or remove any vegetation MDEC determines necessary to prevent interruption of service. 4. MDEC may deny service if it detects a safety hazard in the Customer’s appliances or wiring or a violation of MDEC’s rules and regulations but is not under a duty to inspect the Customer’s premises. 5. Customer will not tamper with, adjust or relocate MDEC’s meter or any of its equipment. 6. Customer agrees to pay MDEC’s expenses and attorney fees incurred in enforcing this agreement or in collecting any sums due for services

Comment or Message

Comment

Note: The final bill will be calculated from the reading received on the date of disconnect and due 20 days from that date. The deposit and membership associated with your account will be credited to the account balance. Please allow 2-3 weeks for any refund checks to be received.

Pay Your Bill