Application for Membership and Electric Service

To establish electric service with Wood County Electric Cooperative please complete the below Application. If you have any questions regarding new service, please feel free to contact customer service during normal business hours at (903) 763-2203 or send an email to info@wcec.org

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

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
APPLICANT:
First Name:		   *
Last Name:   *
Middle Initial:  
SSN#:--  *
DL#:  *
License State:  
Birth Date:    
Employer:  
Previous Tenant or Owner:
Name:		  *
Account#:  

*Many times there is no street address identified in our records, but a GPS location address.  If the location had previous WCEC Service, this very important data will help identify the intended service address to expedite your order.  Those unable to provide this will incur service connection delays.

Mailing Address:
Please enter the address where bills should be sent:

C/O:  
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Service Address:
Please enter the street address where service is required:

Service Address:   *
Service Type (Construction Required or Existing Service):   *
Meter#:  
Directions to service location:   *
E-mail:  *
Confirm E-mail:  *
Main Phone:--   *
Cell Phone:--  
Work Phone:--   
SPOUSE/APPLICANT:
If Spouse is applicable, the following 4 field must be completed.
Name:		 
SSN#:-- 
DL#:  
License State:  
Date of Birth:    
Employer:  
Would you like this to be a joint account?
(yes or no)		  *

Online Access:
As a convenience to our customers, Wood County Electric Cooperative provides an online system for viewing and paying bills. If you would like to use this service, in the section provided below, please specify an Internet Password and Password Hint for online account access. For security purposes, please specify a password that is at least 4 characters in length.
Internet Password:  
Confirm Internet Password:  
Password Hint:

Existing Service:
Do you currently or have you previously had service with Wood County Electric?    

Account Number:

Fee & Deposit Information:
A Connect Fee is due with the Application for Service. In addition, a security deposit may also be required. The deposit amount, if applicable, is determined based on a credit check and/or by existing history at the service location. Once your account has been created in our system, you will receive an email that will communicate the total balance due on your new account, including connect fee and deposit amount, if applicable.


Connect Fee:  
Tax:  

Do you Rent or Own this location?   *
Please select your preferred Billing Method?   *
 
I have read and understand the terms and conditions of Wood County Electric Cooperative. Furthermore, I agree that a credit check may be submitted to determine if a security deposit is required. I certify that the above is true and fully understand that submission of false information on this application for service will result in denial of service or may cause service to be terminated.
Your signature on this application indicates acceptance of all the terms and conditions for receiving Electric Service and as a Member of the Cooperative. I understand that checking this box and typing my name in the field provided below is my electronic signature.
  Applicant Name:     *