Step 1 of 3 0% Business InformationCompany Name(Required) FEIN/Tax ID(Required) Type of Business(Required)(Corporation, Partnership, etc.) Address(Required) 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(Required) Same as previous 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 Phone(Required)Additional PhoneFax NumberEmail Please provide any Meter or Pole Tag ID numbers at the location(s) to connect/transfer: Date you will be taking over service:(Required) MM slash DD slash YYYY Please allow up to 72 hours for processing. Resolution Please complete the sample Resolution or upload existing Corporate Resolution or similar business documents.File(PDF, DOC or DOCX only) Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 150 MB. Authorized PersonsAuthorized Name 1 Authorized Title 1 Authorized Name 2 Authorized Title 2 Authorized Name 3 Authorized Title 3 Authorized Name 4 Authorized Title 4 Authorized Name 5 Authorized Title 5 Consent ResolutionWhereas, all prerequisite acts and proceedings preliminary to the adoption of this Resolution have been taken and done in due and proper form, time, and manner; Whereas the aforementioned authorized individual(s) has been duly elected to the offices set opposite his/her respective name(s). Resolved that the duly elected officers are hereby jointly and severally authorized on behalf of this entity to execute all agreements, applications, and transactions with the People's Electric Cooperative as may be required, to access any information on the electric accounts in the name of this entity, to legally transact any business upon the entity's behalf, and to delegate other designated employees of the entity certain authority as shown by the aforementioned authorized individual(s).Resolved further, that these Resolutions shall remain in full force and effect until a certified copy of a duly adopted resolution affecting a revocation or amendment, as the case may be, shall have been received by People's Electric Cooperative. The authority hereby granted shall apply with equal force and effect to the successors in office of the Officers herein named.Signed, Name Title Signature & Consent Read the full Terms & Conditions of Service.Applicant Consent(Required) I hereby verify the above information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.Applicant Electronic Signature (Full Name)(Required) EmailThis field is for validation purposes and should be left unchanged.
