Mohave Electric Cooperative, Inc.Member ServiceApply for ServiceResidential Membership Application Font Size: Share Share on FacebookShare on X (Twitter)Share on PinterestShare on LinkedinShare on Email Feedback Print
Residential Membership Application "*" indicates required fields Step 1 of 2 – Step 1 50% Name* First Last Joint Applicant Name First Last Service Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Work Phone*Email* SS#*Spouse SS#Employer*City*Zip*Connect Date* MM slash DD slash YYYY ID & Letter of Credit*Please upload a copy of your ID and a letter of credit.Max. file size: 128 MB. Additional InformationApplicant Consent*Terms & Conditions The undersigned (including any joint applicant, “Applicant”) hereby applies for electric service and agrees to purchase electric energy from Mohave Electric Cooperative, Incorporated (the “Cooperative”), upon the following terms and conditions: 1. Applicant will pay to the Cooperative the sum of $5.00 which, if this Application is accepted by the Cooperative, will constitute Applicant’s membership fee under the tariffs, policies, rules, and regulations of the Cooperative. 2. Applicant will, when electric energy becomes available, purchase from the Cooperative all electric energy used on the premises of Applicant consistent with the Bylaws of the Cooperative and the rules and regulations of the Arizona Corporation Commission and will pay therefore monthly at rates to be determined from time to time in accordance with Cooperative approved tariffs and the Bylaws of the Cooperative; provided, however, that the Cooperative may limit the amount of electric energy which it will be required to furnish to Applicant. 3. Applicant, as a member of the Cooperative, by voluntarily providing the Cooperative with Applicant’s mobile and/or landline phone number(s) either in this Application, or at a later date, warrants that such phone numbers are assigned to Applicant and not to any third party (unless such third party is named on Applicant’s account). Applicant further agrees and consents, for the duration of the membership, as required under the Telephone Consumer Protection Act (the “TCPA”), to the use of such phone number(s) by the Cooperative and its agents for any and all communications, including text messages, automated phone calls, and “Robo-call” contacts designated and defined under the TCPA as communications requiring express consent. 4. Only Applicant will have access to account information. If Applicant wishes for a third party to have access to account information, Applicant must complete a separate Authorization for Release of Information, which the Cooperative will provide upon request. 5. Applicant will cause Applicant’s premises to be interconnected with the facilities of the Cooperative and wired in accordance with all applicable codes, standards, and laws and all policies, rules, and regulations of the Cooperative. 6. Applicant will comply with and agrees to be bound by the provisions of Cooperative’s Articles of Incorporation, Articles of Conversion, Bylaws, Service Rules and Regulations, and such other policies, rules, and regulations of the Cooperative as may from time to time be adopted, all as may be amended or otherwise modified from time to time and all of which are incorporated into this Application by this reference. If this application constitutes a Joint Membership, each of the undersigned applicants agrees to be jointly and severally responsible for all payment and compliance obligations. The Bylaws may be accessed on the Cooperative’s website and all other documents referenced in this paragraph may be provided upon written request. 7. Applicant, by paying a membership fee and becoming a member of the Cooperative, assumes no liability or responsibility for any debts or liabilities of the Cooperative and Applicant’s private property will be exempt from execution for any Cooperative debts or liabilities under applicable law. 8. Applicant hereby grants to the Cooperative easements and rights of way on, across, and under Applicant’s property to install, construct, replace, repair, operate, upgrade, maintain, and remove cabling, equipment, and facilities for communications and for the transmission and distribution of electricity. Applicant consents to the Cooperative making such filings and recording such instruments as may be necessary or appropriate to protect or perfect such easements and rights of way. Applicant will also provide the Cooperative with safe and unobstructed access to Applicant’s premises for the purpose of reading meters, testing, repairing, relocating, removing, or exchanging any and all cabling, equipment, or facilities necessary, in the opinion of the Cooperative, to provide electric, communication, and other service. 9. All meters, service drops, and related fixtures installed by the Cooperative upon Applicant’s premises are and at all times will remain the property of the Cooperative. Only an authorized agent of the Cooperative may alter, remove, repair, replace or make corrections to any equipment relating to the transmission or distribution of electricity. If Applicant or any other person tampers with meter installation, interferes with the proper working of a meter, or commits theft or diversion of service, including the falsification of meter reading, electrical service will be subject to termination and Applicant will be responsible for all losses suffered by the Cooperative as a result of such actions. The Cooperative will be entitled to collect from Applicant the appropriate rate for all power and energy not recorded on the meter as the result of tampering, theft, or similar activity, as well as all expenses arising out of any cost of collection incurred by the Cooperative. 10. Applicant hereby agrees: (a) to the terms of Article VII of the Bylaws of the Cooperative regarding the retirement of Capital Credits (as defined in the Bylaws); (b) irrevocably to assign to the Cooperative all retired Capital Credits if Applicant fails to claim such Capital Credits within two years from the date they were made available; (c) that the Cooperative may use all assigned Capital Credits as authorized in the Bylaws or under applicable law; (d) that the Cooperative may impose a reasonable dormancy fee for each year that Applicant fails to claim any Capital Credit payment; and (e) that Applicant’s rights in and to any Capital Credits are at all times personal to Applicant and that Applicant shall not assign or transfer Applicant’s rights in or to any Capital Credits to any person or entity, except as set forth in Article VII of the Bylaws of the Cooperative. Applicant further agrees that Applicant, through the Cooperative’s monthly customer charge, will pay for Applicant’s subscription to the Cooperative’s Currents publication. Applicant will inform the Cooperative in writing of any changes to Applicant’s mailing address, phone number(s), or other contact information, within 10 days of any such change. By signing below, the individual(s) executing this Application warrants that he and/or she is duly authorized to act on behalf of Applicant. Applicant ConsentApplicant Electronic Signature (Full Name)*Joint ApplicantTerms & Conditions The undersigned (including any joint applicant, “Applicant”) hereby applies for electric service and agrees to purchase electric energy from Mohave Electric Cooperative, Incorporated (the “Cooperative”), upon the following terms and conditions: 1. Applicant will pay to the Cooperative the sum of $5.00 which, if this Application is accepted by the Cooperative, will constitute Applicant’s membership fee under the tariffs, policies, rules, and regulations of the Cooperative. 2. Applicant will, when electric energy becomes available, purchase from the Cooperative all electric energy used on the premises of Applicant consistent with the Bylaws of the Cooperative and the rules and regulations of the Arizona Corporation Commission and will pay therefore monthly at rates to be determined from time to time in accordance with Cooperative approved tariffs and the Bylaws of the Cooperative; provided, however, that the Cooperative may limit the amount of electric energy which it will be required to furnish to Applicant. 3. Applicant, as a member of the Cooperative, by voluntarily providing the Cooperative with Applicant’s mobile and/or landline phone number(s) either in this Application, or at a later date, warrants that such phone numbers are assigned to Applicant and not to any third party (unless such third party is named on Applicant’s account). Applicant further agrees and consents, for the duration of the membership, as required under the Telephone Consumer Protection Act (the “TCPA”), to the use of such phone number(s) by the Cooperative and its agents for any and all communications, including text messages, automated phone calls, and “Robo-call” contacts designated and defined under the TCPA as communications requiring express consent. 4. Only Applicant will have access to account information. If Applicant wishes for a third party to have access to account information, Applicant must complete a separate Authorization for Release of Information, which the Cooperative will provide upon request. 5. Applicant will cause Applicant’s premises to be interconnected with the facilities of the Cooperative and wired in accordance with all applicable codes, standards, and laws and all policies, rules, and regulations of the Cooperative. 6. Applicant will comply with and agrees to be bound by the provisions of Cooperative’s Articles of Incorporation, Articles of Conversion, Bylaws, Service Rules and Regulations, and such other policies, rules, and regulations of the Cooperative as may from time to time be adopted, all as may be amended or otherwise modified from time to time and all of which are incorporated into this Application by this reference. If this application constitutes a Joint Membership, each of the undersigned applicants agrees to be jointly and severally responsible for all payment and compliance obligations. The Bylaws may be accessed on the Cooperative’s website and all other documents referenced in this paragraph may be provided upon written request. 7. Applicant, by paying a membership fee and becoming a member of the Cooperative, assumes no liability or responsibility for any debts or liabilities of the Cooperative and Applicant’s private property will be exempt from execution for any Cooperative debts or liabilities under applicable law. 8. Applicant hereby grants to the Cooperative easements and rights of way on, across, and under Applicant’s property to install, construct, replace, repair, operate, upgrade, maintain, and remove cabling, equipment, and facilities for communications and for the transmission and distribution of electricity. Applicant consents to the Cooperative making such filings and recording such instruments as may be necessary or appropriate to protect or perfect such easements and rights of way. Applicant will also provide the Cooperative with safe and unobstructed access to Applicant’s premises for the purpose of reading meters, testing, repairing, relocating, removing, or exchanging any and all cabling, equipment, or facilities necessary, in the opinion of the Cooperative, to provide electric, communication, and other service. 9. All meters, service drops, and related fixtures installed by the Cooperative upon Applicant’s premises are and at all times will remain the property of the Cooperative. Only an authorized agent of the Cooperative may alter, remove, repair, replace or make corrections to any equipment relating to the transmission or distribution of electricity. If Applicant or any other person tampers with meter installation, interferes with the proper working of a meter, or commits theft or diversion of service, including the falsification of meter reading, electrical service will be subject to termination and Applicant will be responsible for all losses suffered by the Cooperative as a result of such actions. The Cooperative will be entitled to collect from Applicant the appropriate rate for all power and energy not recorded on the meter as the result of tampering, theft, or similar activity, as well as all expenses arising out of any cost of collection incurred by the Cooperative. 10. Applicant hereby agrees: (a) to the terms of Article VII of the Bylaws of the Cooperative regarding the retirement of Capital Credits (as defined in the Bylaws); (b) irrevocably to assign to the Cooperative all retired Capital Credits if Applicant fails to claim such Capital Credits within two years from the date they were made available; (c) that the Cooperative may use all assigned Capital Credits as authorized in the Bylaws or under applicable law; (d) that the Cooperative may impose a reasonable dormancy fee for each year that Applicant fails to claim any Capital Credit payment; and (e) that Applicant’s rights in and to any Capital Credits are at all times personal to Applicant and that Applicant shall not assign or transfer Applicant’s rights in or to any Capital Credits to any person or entity, except as set forth in Article VII of the Bylaws of the Cooperative. Applicant further agrees that Applicant, through the Cooperative’s monthly customer charge, will pay for Applicant’s subscription to the Cooperative’s Currents publication. Applicant will inform the Cooperative in writing of any changes to Applicant’s mailing address, phone number(s), or other contact information, within 10 days of any such change. By signing below, the individual(s) executing this Application warrants that he and/or she is duly authorized to act on behalf of Applicant. Joint ApplicantJoint Applicant Electronic Signature (Full Name)
