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If you would like to speak with someone in our Customer Service Department about starting your Business service, please drop by or call toll-free 1-800-942-3141 or complete the form below.

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Primary
Business Name
Business Contact Name
First Last
Email Address:*
Business Tax ID #*
Business Phone Number:*
Phone Number:
Property
Start Service at:
Street Address Address Line 2 City State ZIP Code
Mailing Address (if different from above):
Street Address Address Line 2 City State ZIP Code
Previous Address:
Street Address Address Line 2 City State ZIP Code
Rent or Own?
- Rent
- Own
Name of Owner:
Phone Number:
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Does this location have gas service?
- Yes
- No
Type of Home
- New
- Existing
Connect Date:*
MM slash DD slash YYYY
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Signatures
Comments
The undersigned (hereinafter called the "Applicant") hereby applies for membership in, and agrees to purchase electric energy from Laurens Electric Cooperative, Inc. (hereinafter called the "Cooperative"), upon the following terms and conditions:
1. The Applicant will pay to the Cooperative the sum of $5.00 which, if this application is accepted by the Cooperative, will constitute as the Applicant's membership fee.
2. The Applicant will, when electric energy becomes available, purchase from the Cooperative all electric energy used on the premises described below and will pay therefore monthly at rates to be determined from time to time in accordance with the by-laws of the cooperative.
3. The Applicant will comply with and be bound by the provisions of the certificate of incorporation and by-laws of the Cooperative, and such rules and regulations as may from time to time be adopted by the Board of Directors of the Cooperative.
4. The Applicant, by paying a membership fee and becoming a member, assumes no personal liability or responsibility for any debts or liabilities of the Cooperative and it is expressly understood that under the law his private property cannot be attached for any such debt or liabilities.
5. The Applicant grants the Cooperative the right of way to serve the premises. This right of way allows the Cooperative to construct, operate and maintain an electric or distribution line or system, and to cut and trim trees and shrubbery to the extent necessary to keep them clear of said electric line or system and to cut down from time to time dead, weak, leaning, or dangerous trees that are tall enough to strike the wires in falling.
The acceptance of this application by the Cooperative shall constitute an agreement between the Applicant and the Cooperative, and the contract for electric service shall continue in force from one year from the date service is made available by the Cooperative to the Applicant.
Signature*
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Witness Signature
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