Phone Numbers means the telephone number assigned to your Phone and registered with us and that you undertake that it remains under your possession and/or ownership and/or control at any time.
Phone Numbers. Email address: Last Name First M. SSN Required Birth Date Home Cell Work Employer MAILING/BILLING ADDRESS: Street City State ZIP Service Address (if different than above): Date Service is to Start: Landlord Information (if renting): Name: Landlord Address: Have you had service with Xxxxxxx Electric before: q Yes q No Phone: Street City State ZIP Name of adult(s) living with you at this address that may receive information on this account (Authorized Person): APPLICANT’S SIGNATURE: SPOUSE’S SIGNATURE: Date: Date: PLEASE PROVIDE THE FOLLOWING ITEMS FOR PROMPT SERVICE: q Completed Membership Application q Membership Fee of $10.00 q Driver’s license or government issued photo ID Please submit a copy of your id if mailing app q Deposit of $ Deposits vary. Contact the cooperative for your deposit amount. q Service Charge of $30.00 (if applicable) Make check or money order payable to Xxxxxxx Electric. Visa, Mastercard, and Discover are also accepted. In accordance with and in addition to the terms and conditions provided herein and on the reverse side of this Member- ship & Electric Service Application and Agreement (“Application and Agreement”), Applicant hereby (1) applies to be and consents to being a member of Xxxxxxx Electric Cooperative, Inc. (the “Cooperative”), (2) applies, requests, and agrees to consume, receive, purchase or otherwise use (“Use”) electric energy and/or electric distribution service (“Service”) from the Cooperative at the Service Address written above, and (3) agrees to pay the Cooperative’s membership fee of $10.00. If a Spouse of the Applicant is written above and signs the application, then the Applicant and Spouse are consent- ing to being joint members of the Cooperative, as provided for in the Cooperative’s Code of Regulations, and the Spouse agrees to be bound by the terms and conditions of this Application and Agreement and the Cooperative’s Governing Documents, as defined herein. In such case, Applicant and the Spouse are hereinafter collectively referred to as “Ap- plicant.” If an “Authorized Person” is written above, and said Authorized Person is not the Husband or Wife of the Applicant, then Applicant represents that he or she authorizes the Authorized Person to communicate information to the Coop- erative regarding Service at the Service Address. In addition, the Applicant consents to the Cooperative providing the Authorized Person with billing information for the Service at the Service Address, and accepting payments from t...
Phone Numbers. Landlord’s Current Phone Number: 000-000-0000 Tenant’s Current Phone Number(s): . The Tenant(s) shall notify the Landlord of any change to her/his telephone number immediately upon obtaining one, if there is a change, by sending a text message with the Tenants name in the message and the words “this is my new number.”
Examples of Phone Numbers in a sentence
Xxxxxx.xxxxxxxx@xxxxxxxxxxxxx.xxx Secondary Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477).
XXxxx@xx-xxxx.xxx Secondary Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477).
XXXXX@XXXXXXXXX.XXX Administration Fee Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477).
XXxxxxx@xxxxxxxxxxxxxxxxxx.xxx Secondary Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477).
Xxxx@xxxxxx.xxx Secondary Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477).
More Definitions of Phone Numbers
Phone Numbers. Bus: Home: Cell: ID number: Signature: Date: ACCOUNT PAYEE 2 (2nd person responsible for the payment of the account.) Name in full: Physical address: Postal address:
Phone Numbers. Bus: Home: Cell: ID number: Signature: Date: Attached hereto : Proof of Residence 2 Months Bank statements 3 Months pay slips Copy ID’s
Phone Numbers. Cell: Home: Email Address: Date of Birth; Social Security Number (last 4) Type of Living Situation: Private Residence Group Home Apartment Other Current Benefits: (Check all that apply) Medicaid Food Assistance SSI Other: Please describe the nature of the Beneficiary’s disability: U.S. Citizen: Yes No Marital Status: Single Married Widowed
Phone Numbers. Cell: Home: Email Address: Relationship to the Beneficiary:
Phone Numbers. Cell: Home: Email Address: Relationship to the Beneficiary: Online access to view statements & activity (Email address is required) Yes No
Phone Numbers. Cell: Home: Email Address: Relationship to the Beneficiary: Online access to view statements & activity (Email address is required) Yes No 5. SECOND SUCCESSOR BENEFICIARY ADVOCATE Name: Address:
Phone Numbers. Cell: Home: Email Address: Relationship to the Beneficiary: Online access to view statements & activity (Email address is required) Yes No In the event that none of the Beneficiary Advocates are able to serve, the last acting Beneficiary Advocate may appoint a successor in writing. If no successor is designated, the Trust Advisor may nominate a successor Beneficiary Advocate and may consult with the Grantor, Beneficiary, Guardian of the Beneficiary, caseworker and/or any other interested party in order to nominate a successor.