Application for Electric Service

Meter To apply for electric service, complete the form online and submit.

This form will begin the process of applying for electric service. Once the form is submitted, our member services team will reach out with the next steps of getting your electric service connected.

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Street Address(Required)

Address Address Line 2 City State ZIP Code

Address

Same as previous

Driver's License #(Required)

Day Time Phone Number(Required)

Evening Phone Number

Email(Required)

Spouse Name

If you are interested in signing up for any of these services, check the appropriate box below

Equal Payment Plan

NC GreenPower Contribution

Helping Each Member Cope

Handi Pay Plan

Security Lighting

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