For service for commercial accounts, please fill out the form below: New Commercial Accounts For service for commercial accounts, please fill out the form below: Name First Middle Last Business Name Social Security Number Employer Tax ID Phone Number Mailing Address Mailing Address City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Service Address Service Address City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Date Service Desired Estimated Service Date Class and Grade of Service Applied For Availability of Facilities Please select which best describes this service location Please select which best describes this service location - Select -Primary ResidenceSeasonalCommercialOther… Enter other… Additional Descriptions Include a copy of a photo ID for the person responsible for this commercial account Upload Upload requirementsOne file only.50 MB limit.Allowed types: gif, jpg, png, svg. The (hereinafter called the "Applicant") applies for membership in, and agrees to purchase electric energy from South Central Arkansas Electric Cooperative, Inc., (hereinafter called the "Cooperative"), upon the following terms and conditions: 1. The Applicant will pay to the Cooperative a membership fee in the amount currently approved by the Cooperative Board and a specific consumer deposit. 2. Membership fee and deposit shall be maintained by the Cooperative until service is terminated and said fees may be applied to final bill. 3. The Applicant will purchase from the Cooperative all electric energy used on the premises and will pay monthly rates to be determined from time to time by the Cooperative. 4. The Applicant will cause his premises to be wired in accordance with wiring specifications approved by the National Electric Code. Also, the applicant understands the cooperative cannot guarantee uninterrupted service to his premises due to weather and circumstances beyond the cooperative's control. 5. The Applicant will comply with and by bound by the provisions of the articles if incorporation and by-laws of the Cooperative, and such rules and regulations as may from time to time be adopted by the Cooperative. 6. The Applicant, by paying a membership fee and becoming a member, assumes no liability or responsibility for any debts or liabilities of the Cooperative, and it is expressly understood that under the law, his private property is exempt from execution for any such debts or liabilities. 7. The Applicant hereby agrees that $7.00 of the amount paid for electricity each year is for a subscription to Rural Arkansas. 8. The Applicant is hereby notified that the Cooperative's nominal voltage is 120/240v ±5%. 9. The Cooperative recommends all wiring on the customer's side of meter be done by a licensed electrician. The acceptance of the application by the Cooperative shall constitute agreement between the Applicant and the Cooperative, and such agreement shall remain in force from the date service is made available by the Cooperative to the Applicant, and thereafter until canceled by either party to the other. By clicking the following checkbox, you agree to the statements above: Applicant's Name Applicant's Phone Please select an identity question - Select -City of Birth?Mother’s Middle Name?Father’s Middle Name? Please answer the security question Submit
