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My Cooperative
About My Cooperative
Annual Meeting
How Did Cooperatives Begin?
Member Information Guide
Your Board of Directors
My Electric Service
Apply For Service
Budget Billing
FAQ's
Meter Loop Specifications
Pay Your Bill Online
Payment Options
Solar Energy
Understanding Your Bill
Electric Vehicles
Security Lights
Who Owns What?
Meter Loop Pricing
Member Services
Member Services & Programs
Co-ops Vote
$1 Water Heater Program
Home Electrical Audits
Capital Credits
Equipment Financing Program
Geothermal Financing Program
Swap-A-Tree
Air Evac
Building the Home of Your Dreams
Energy Efficiency Resources
Co-op Connections
Hi-Lites Newsletter
My Community
Touchstone Energy Classroom Empowerment Grants
Scholarships
Youth Tour
Safety
Generator Safety
Outage Safety
Forestry Clearance
Safety Luncheon
Electrical Safety
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Breadcrumb
Home
Apply for Service - New Construction
Contact Info
Primary Member Name
Primary Member Email
Primary Member Phone Number
Address
Address 2
City/Town, Illinois
ZIP/Postal Code
Primary Member's Employer
Primary Member's Business Phone Number
Joint Member Contact
Joint Member Name
Joint Member Email
Joint Member Phone
Joint Member's Employer
Joint Member's Business Phone
New Construction Address or 911 address (if different from above)
?
Describe your request for new construction. (Examples: If residential (house, single-wide mobile home or double-wide mobile home, barn or shop). If commercial, roughly describe business type:
Examples: If residential (house, single-wide mobile home or double-wide mobile home, barn or shop). If commercial, roughly describe business type:
Is this a primary residence?
Yes, this will be my primary residence.
No, this will not be my primary residence.
If this location is a primary residence, you are eligible to receive a 50 gallon electric water heater voucher for $1. Would you like someone to contact you regarding the water heater program?
- None -
Yes
No
Please select your primary source of heat that you plan to install (if applicable):
Please select your primary source of heat that you plan to install (if applicable):
- None -
Propane
Natural Gas
Electric
Geothermal
Other…
Enter other…
Size of Service (if known)
Size of Service (if known)
- None -
100 amp
200 amp
Other…
Enter other…
Do you currently have service with Tri-County Electric Cooperative?
Yes, I am currently a member.
No, I have never been a member of Tri-County Electric Cooperative.
I used to be a member Tri-County Electric Cooperative.
Do you wish to have a security light at this location?
Yes, I wish to have security light at my location. I understand that I will be charged $10.50 per month once the light has been installed.
No, I do not wish to have a security light at this location.
I agree to the
terms of service
.
Terms of Service
The undersigned hereby applies for membership with Tri-County Electric Cooperative, Inc. (MT. VERNON, ILLINOIS) and agrees to comply with and be bound by the provisions of the Charter and Bylaws of said Cooperative and such rules and regulations as may be adopted by the Cooperative.
Payment for electric energy shall include a subscription to the 'Hi-Lites', or its successor publication, published by the Cooperative and/or to the Illinois Country Living or its successor publication, published by the AIEC.
The undersigned hereby agrees to pay all costs of collection incurred by Tri-County in collecting any sum due for services provided, including without limitation, the charges of a collection agency incurred by Tri-County, which collection agency charges may be based upon a percentage at a maximum or 35% of the total debt, and also such other or additional reasonable attorney's fees incurred by Tri-County. I understand and acknowledge that Tri-County Electric Cooperative, Inc. will disconnect my electric service if provided information proves to be incorrect.
I authorize Tri-County Electric Cooperative to check with credit reporting agencies, credit references and other sources in investigating the information given.
I agree to pay the appropriate minimum bill for a period of twelve months beginning when the meter is set or sixty days after construction of service.
I understand that a deposit may be required contingent upon a credit check. A customer service representative will contact me to discuss my options.
Signature
Sign above
Joint Member Signature (if applicable)
Sign above
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