Residential Application for Service

Please, fill out the online application below or print and mail a paper application to begin receiving residential electric service from Northern Electric Cooperative.

Once the online application is completed you must call 605-225-0310 to confirm the application submission and finish the process.

Please note, this application must be signed either prior - or within 30 days - of receiving electric service as a condition of continuing such service.

This institution is an equal opportunity provider and employer.

The printable application is for mail-in purposes only. Members who choose to download and print the application should mail to:

Northern Electric Cooperative

PO Box 457

Bath, SD 57427

Members can also fill out the online application below.

Location
Physical Address:
Location Number:
Quarter of Section:
Township:
Range:
City (Town):

or in the City (Town) of:

County of:

County of:

Do you own or rent this property?

Landlord

If a rental please provide landlord/owner's name and phone number:

Location

The undersigned (hereinafter referred to as "Applicant") applies for electric service from Northern Electric Cooperative Inc., (hereinafter referred to as "Cooperative") at Location:
Agreement

Agreement

now therefore, it is AGREED AND UNDERSTOOD BY THE APPLICANT AS FOLLOWS:
  1. That the applicant shall purchase electric energy from the Cooperative after it becomes available.
  2. That the applicant will comply with and be bound by the Articles of Incorporation, Bylaws, rules, regulations, general terms and conditions as adopted by the Cooperative. The applicant further grants to the Cooperative a first lien and security interest on all patronage capital standing on the Cooperative's books for all indebtedness whether liquidated or unliquidated that the applicant may have now or in the future to the Cooperative. The Cooperative, before retiring any capital credit to any applicant's account, may deduct therefrom any amount owing by such patron to the Cooperative.
  3. That by this application and request for electric service or by the continuation of his/her present service a joint membership is created between the Applicant and his/her spouse.
  4. That all capital credits shall be owned and possessed by the Applicant; but, in the event of the Applicant's death they shall be vested in the name of the Applicant's spouse.
  5. That as joint members the Applicant and his/her spouse are entitled to but one vote in the business of the Cooperative and acknowledge the other conditions of membership, such as: joint waiver, notice, expulsion, withdrawal, and qualifications for office as set forth in Article I, Section 3 of the Bylaws.
  6. That membership in the Cooperative shall be terminated if the Applicant refuses to take service or has ceased to purchase energy from the Cooperative at any time.
Terms of Agreement
Terms of Service
Primary Member Information
Name
May we contact you at work?
Do you have a medical condition that would be affected by a power outage?

Please, explain the medical condition that may be affected by a power outage.

Providing this data is voluntary and collected for Federal Government reporting purposes only.
Select if any of the following are applicable:

Primary Member

Co-Member Information
Co-Member Name
May we contact you at work?
Do you have a medical condition that would be affected by a power outage?

Please, explain the medical condition that may be affected by a power outage.

Providing this data is voluntary and collected for Federal Government reporting purposes only.
Select if any of the following are applicable:

Co-Member

Sign above
Sign above

Mailing Address