Petit Jean Electric Cooperative CorporationMembership and Electric Service Agreement • January 25th, 2021
The Applicant, whose signature appears below, applies to PETIT JEAN ELECTRIC COOPERATIVE CORPORATION of Clinton, Arkansas, (hereinafter called the “Cooperative”) for membership and/or electric service to be supplied at the location herein described and, upon request, at any other location within the area served by this Cooperative. This agreement shall supersede and replace any previous agreement and shall apply to each location the Cooperative furnishes electric service to the applicant.
Membership and Electric Service AgreementMembership and Electric Service Agreement • August 14th, 2019
Applicant (First Name) (Middle) (Last) D ate Service Requested Co-Applicant (First Name) (Middle) (Last) S tructure Type □ Residence□ Other □ Water Well (metered separately)□ Barn (metered separately) Billing Address O FFICE USE ONLY□ New Location□ Work Order □ Existing Location□ Yard Lights: No. Credit□ Credit Check□ Deposit PenTex FlexPay□ Yes □ No□ Photo ID – Required City State Zip Telephone Number Alternate Number Property□ Own □ Rent Landlord: Account # S.O. # Connect Fee□ Billed□ Paid Applicant: SSN C redit Card Fee $ Total Paid $ By-Laws□ Mailed□ Given in Office Applicant: Employer Phone Co-Applicant: SSN Meter # Co-Applicant: Employer Phone Location # Service (911) Address □ E-Bill□ E-Delinquent□ Standard Mail □ Text Alerts□ E-mail Alerts Operation Round Up®□ Opt In□ Opt Out Email Address SIGN UP FOR ALERTS & REMINDERS TODAYContact our office or visit www.pentex.com
APPLICATION FOR MEMBERSHIP AND EXISTING ELECTRIC SERVICE CONTRACTMembership and Electric Service Agreement • March 24th, 2014
The undersigned, hereinafter referred to as "Applicant," hereby makes application for membership in the Osage Valley Cooperative Association, hereinafter referred to as "Cooperative," and Applicant and Cooperative also enter into the following agreement for electric service:
ContractMembership and Electric Service Agreement • July 19th, 2021
The Applicant, whose signature appears below, applies to the CARROLL ELECTRIC COOPERATIVE CORPORATION of Berryville, Arkansas, (hereinafter called the “Cooperative”) for membership and/or electric service to be supplied at the location herein described and, upon request, at any other location within the area served by this Cooperative. This agreement shall supersede and replace any previous agreement and shall apply to each location the Cooperative furnishes electric service to the applicant.
