Service Application

An application for membership and for service is required from all Members. A separate application for service may be required for each point of delivery. The Cooperative may require a written application for service.

The Member shall pay the membership fee to become a member of the Cooperative and be bound by the provisions of the Articles of Incorporation and Bylaws of the Cooperative and by such Rules and Regulations as may, from time to time, be adopted by the Cooperative. A non-refundable service charge shall be paid on all service connects in the amounts shown on the Cooperative’s schedule of Charges and Deposits on file with the Louisiana Public Service Commission.

Note: All fields with the asterisk (*) are required.


Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Customer First Name:  
Customer Last Name:  
Customer Middle Initial:  
Social Security Number:--  
License State:  
Birth Date:    
Employer:  
Nationality  

Please enter the address where bills should be sent:
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Please enter the street address where service is required:
Service Address:  
Service Type (Construction Required or Existing Service):   *
Meter Number:  
If applicable, directions to new construction:   *
E-mail:  *
Confirm E-mail:  *
Home Phone 00--   *
Cell Phone:--  
Busniess Phone 00--   *
Co Applicant Name:  *
Co Applicant SSN:-- 
Co Applicant Driver's License:  
Co Applicant License State:  
Co Applicant Birth Date:    
Co Applicant Employer:  

As one of our services, we provide an online application for viewing and paying bills. If you'd like to use this service, you can specify an Internet Password and Password Hint at this time. Please note that the Internet Password must be at least 4 characters in length.
Internet Password:  
Confirm Internet Password:  
Password Hint:



Additional Field4 at the end defaul  *

I understand the terms and conditions outlined in the consumer handbook and applicable By Laws of DEMCO. By submitting this application request, I also agree that a credit check may be submitted, if necessary, to determine if a security deposit is required. A one time $5.00 membership fee applies.
 
Check here to agree to the following terms: 

By submitting this request, I, the above named individual (hereinafter called applicant) hereby apply for membership in and agree to purchase all electric energy for the requirements of the premises for which this application is made from Central Alabama Electric Cooperative (hereinafter called Cooperative). The information given herein is to my knowledge correct. 

The applicant for membership or the Member should bear in mind that the Membership Agreement provides that the Member will abide by all Bylaws of the Cooperative and all Policies, known as Service Rules and Regulations, adopted by the Board of Trustees of the Cooperative. Various Bylaw provisions and policies apply to many different specific problem areas. A copy of the Member Policies is available upon request.