New
Application for Membership and Electric Service
Please complete enclosed paperwork and return with the required fee(s) by . All areas must be completed for application to be valid.
Account Number
Member
Joint Member
Signature of Member Signature of Joint Member
Printed Name
Printed Name
Social
Security #
Social Security #
Mailing Address Physical Address (911) – ***Required****
Membership Fee $_____________ Telephone ( ) - Home
Security Deposit $_____________ Telephone ( ) - Work
Reconnect Fee $_____________ Telephone ( ) - Fax
Other Charges $_____________ Telephone ( ) - Cell
Total Due $_____________ E-mail Address
Owner's Name
Intended Use of Service
Primary Heating
0
Primary Residence
0 Seasonal/Cottage 0 Propane 0 Oil 0Other
0
Commercial
0
Other (explain)
Description of Service
0
House
0
Trailer
0
Barn
0
Garage
0
House & Barn
0 Business
0
Other
Office Use Only
Meter #
Map #
Amount Paid
Cash, Check or
Money Order
Received by
Family in Need Fund
0
Yes,
I wish to contribute to the Family in Need Fund. I understand that my electric bills will
be rounded up to the nearest dollar. I
also understand that this will be effective with my first billing.
Should I wish to stop contributing to this fund, I simply need to inform
New Enterprise REC.
0 No, I do not wish to contribute to the Family in Need Fund.
Lump sum amounts may be
contributed at any time. When making
a lump sum donation, mark as “Family
in Need Fund.”
I
have received a membership packet, Pennsylvania Sales Tax Blanket Exemption
Certificate and a rate sheet. I
have read and understand the information in the packet.
Member’s
Signature
Joint Member’s Signature
Date
****If
you would like to enroll in the Auto Pay Program, please complete the section
below.
Auto
Pay Enrollment Form
I
authorize New Enterprise Rural Electric Cooperative, Inc. to withdraw my monthly
electric bill from my checking or savings account.
The amount will be deducted on the 20th of each month.
This authorization will remain in effect until I provide New Enterprise
REC with a written signed termination letter.
This letter will need to be in the office by the first of any month.
Member
Signature
Date
Joint
Member Signature
Date
Account Number
Application for Membership and Electric
Service
1.
The undersigned (hereinafter called
Applicant) hereby applies for membership in and agrees to purchase electric
energy from New Enterprise Rural Electric Cooperative, Inc., New Enterprise, PA
(thereafter called the Cooperative) through the service connection at the
property located in:
Township
County
Applicant’s Name(s)
Address
and at any additional
locations as per By-Law regulation in the New Enterprise REC area.
2.
Applicant, by 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 debts or liabilities.
a.
To make payment of such fees as is
designated in the By-Laws in respect to membership, it being expressly
understood that no interest will be paid on membership fees.
b.
That any fees specified in section
(a) shall be refundable except in the event that the applicant fails to fulfill
his contract with the Cooperative as provided in the By-Laws.
a.
Constitute a contract for electric
service between Applicant and the Cooperative which shall continue in force
until cancelled by at least 10 days written notice by either party to the other.
b.
Constitute an acceptance of
applicant to membership in the Cooperative with such rights and liabilities as
are specified in the By-Laws of the Cooperative, provided, however that said
membership shall terminate when applicant ceases to purchase electric energy
from the Cooperative at the service location or locations herein agreed upon.
9.
CONTINUITY
OF SERVICE RESOLUTION
Below is the Continuity of Service resolution adopted by the Board of
Directors of the New Enterprise Rural Electric Cooperative, Inc. at the May
meeting 1973:
Resolved that this regulation shall be effective immediately and shall be
applicable in respect to all service furnished by the Cooperative to its members
and non-members alike; shall be a part of the condition under which
service is received by such members and non-members.
“Cooperative will use reasonable diligence to maintain uninterrupted
service, but does not guarantee a constant or regular supply of electrical
energy and shall not be liable for damage due to variations or cessations in
such supply. Members should give
immediate notice at the office of the Cooperative of any interruptions or
irregularities in service or any known trouble, defect or accident to supply.
Cooperative may interrupt service to any member or members for the
protection of life or property, for its system for the general good of the
service or safety of the public, or when in Cooperative’s sole judgment such
interruption will prevent or alleviate an emergency threatening the integrity of
its system, or will aid in the restoration of service.
Circumstances permitting, Cooperative will give reasonable notice of any
contemplated suspension. Should
service be interrupted for any of the above reasons, or should service fail by
reason of any accident, strike, legal process, governmental interference, or any
cause whatsoever beyond its control, the Cooperative shall not be liable for
damages, direct or consequential, resulting therefrom.”
10.
Applicant, if accepted as a member
of the Cooperative, hereby authorizes the Cooperative, upon termination of his
membership in any manner to cancel said membership.
X
X
Signature of Member
Signature of
Joint Member
PROOF OF MEMBERSHIP
THE
New
Hereinafter
called Cooperative
certifies that
has complied with the
Conditions of Membership of Cooperative and has been hereby accepted into
membership in Cooperative; said membership to continue until such time as
terminated in accordance with the provisions of the By-Laws of Cooperative.
Date
President of Cooperative
Date
Secretary of Cooperative
Date
Manager
Date