Application for Electric Service - Residential

This institution is an equal opportunity provider and employer.

A membership application signed by the applicant shall constitute membership if this application is accepted by the Cooperative.

The undersigned (hereinafter called the "Applicant") hereby applies for membership and agrees to purchase electric energy from Cookson Hills Electric Cooperative, Inc. (hereinafter called "Cooperative"), upon the following terms and conditions, unless otherwise altered, amended, or changed by separate special contract, which said special contract shall be controlling in case of conflict with any provision hereof.

1. The Applicant will cause the improvements and facilities on said premises to be wired in accordance with wiring standards and specifications established by the city, town, and state safety codes, and in accordance with the most recent edition of the National Electric Safety Codes and National Electric Code. Applicant further agrees to cause such wiring to be inspected as required by any of the aforesaid codes or agencies and will pay such inspection fees as are lawfully levied by the inspecting agency, and when such wiring is approved by the inspecting agencies concerned, Applicant will accept electrical service from the Cooperative.
2. The acceptance of this application by the Cooperative, as hereinafter set out, will obligate the Cooperative to supply electrical service to Applicant, if electrical service is already installed and available at Applicant's premises. Thereafter such service shall continue until written notice of desire to discontinue service is given by either party to the other. After the discontinuance of service as aforesaid, or upon the discontinuance of service by the applicant without compliance with the aforesaid, and where the Applicant has been admitted to membership, such membership shall terminate.
3. The Applicant will comply with, and be bound by the provision of the Articles of Incorporation and Bylaws of the Cooperative and such rules and regulations as may from time to time be adopted by the Board of Trustees of the Cooperative or other authority having to do therewith, which said Articles of Incorporation, Bylaws, Rules and Regulations, and Terms and Conditions of Service between the parties hereto, are incorporated herein by reference and made a part hereof, including all lawful amendments or changes that may be affected. A copy of said Bylaws is available and will be furnished to the Applicant upon request. It is further understood by and between the parties that all equipment, supplies, wiring, and other electrical facilities installed by the Cooperative upon Applicant's premises pursuant to this agreement, shall be and remain the personal property of the Cooperative, and Applicant hereby specifically authorizes the Cooperative to remove all of its said materials, supplies, equipment, wiring, and electrical facilities upon the termination of this agreement or upon the discontinuance of service.
4. The Applicant agrees and understands that in the event the Applicant fails to pay the monthly bill (or such other period as the Cooperative may be billing) for electric and other services rendered by the Cooperative, within 10 days from the due date, the Cooperative may, after a notice in writing is mailed or delivered to the Applicant's residence (or place of business, if this is a business service), as provided by the Terms and Conditions of Service, and/or Bylaws of the Cooperative, terminate electric service to the Applicant, and the Applicant expressly releases Cooperative from any liability or damages incurred by the Applicant as a result of such termination.
5. The Applicant, by signing a membership application 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, the Applicant's private property is exempt from execution for any such debts or liabilities. Further, the Applicant agrees to grant right-of-way easements and access to the Cooperative on Applicant's property upon request by the Cooperative to construct, expand, extend, operate and maintain its system as required by law and regulations governing the same. Applicant further agrees to grant unto the Cooperative the right to maintain any right-of-way and keep same free and clear from all obstructions, which may include, but not be limited to, manual cutting of trees, shrubs, foliage, and all other forms of obstructions as well as chemical control thereof.
6. The Applicant will, when electric service becomes available, pay therefore in monthly increments, at rates approved by the Cooperative's Board of Trustees.  Rates may be lawfully altered, amended or changed by the Cooperative's Board of Trustees.  Applicant hereby agrees that $4.20 of the amount paid for electricity each year is for a subscription to Oklahoma Living magazine, a monthly publication for the members of Oklahoma's Rural Electric Cooperatives.  This charge is to apply to the Membership Account only.

DOWNLOAD, PRINT,  AND MAIL
- Application
- Proof of Identification
- Telephone Consumer Protection Act

OR SIMPLY COMPLETE THE ONLINE FORM BELOW

Please Read

The Applicant herewith pays to the Cooperative, the sum of $________________ of which $________________ shall constitute a deposit and $25.00 shall constitute a connect fee. If Applicant has good credit then the deposit will be waived. The deposit may be applied by the Cooperative to the payment of any account which shall remain unpaid by the Applicant. All the above fees will be refunded to Applicant if Cooperative is unable to supply electrical service to Applicant's premises described herein.

I have read the above paragraph *
Yes

Billing Cycle *
Select Cycle 3 - Bill due on the 15th 4 - Bill due on the 1st 5 - Prepay no bill

Account Name *

Co-Applicant

Mailing Address *

City *

State * Select StateAlabamaAlaskaAlbertaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip *

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911 Address (if different than above)

City

State Select StateAlabamaAlaskaAlbertaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Home Phone * Please include area code

Work Phone Please include area code (+extension)

Cell Phone Please include area code

Fax Number Please include area code

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E-mail *

Map Location

Meter Number

Which are you?
Tenant
Property Owner

Property Owner's Name (if different from above)

First Name

Last Name

Have you ever received service from Cookson Hill's Electric Co-op?
Yes
No

If yes: Date Received

Name on Account First Name

Last Name

Applicant Social Security Number *

Applicant Drivers License Number

Applicant Birthdate *

Co-Applicant Social Security Number

Co-Applicant Drivers License Number

Co-Applicant Birthdate

Marital Status
Single
Married
Divorced
Widow/Widower
Other

Maiden Name

If divorced, name of ex-spouse

First Name

Last Name

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Name, Address, and Telphone number of two of your
nearest relatives not living with you.

Name of Relative 1 First Name

Last Name

Relative 1 Mailing Address

City

State Select StateAlabamaAlaskaAlbertaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Country Select CountryUnited StatesCanadaJapanUnited KingdomAustraliaGermanyFranceSwitzerlandItalyNetherlandsAlbaniaAlgeriaAmerican SamoaAndorraAnguillaAntarticaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBotswanaBouvet IslandBrazilBritish Indian Ocean Terr.Brunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslColombiaComorosCongoCook IslCosta RicaCote D'IvoireCroatiaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEstoniaEthiopiaFaeroe IslandsFalkland Isl. (Malvinas)FijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern Terr.GabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernsey C.I.GuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsle of ManIsraelItalyJamaicaJapanJersey C.I.JordanKazakhstanKenyaKiribatiKorea Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxemborgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslMartiniqueMauritaniaMauritiusMexicoMicronesiaMoldova Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherland AntillesNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslNorthern Mariana IslNorwayOmanPakistanPalauPanamaPanama Canal ZonePapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts & NevisSaint LuciaSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSt. Vincent & GrenadinesSurinameSvalbard & Jan Mayen IslSwazilandSwedenSwitzerlandTaiwanTajikistanTanzania United RepublicThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslTuvaluU.A.E.U.S.Minor Outlying IslUgandaUkraineUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Isl (British)Virgin Isl (U.S.)Wallis & Futuna IslandsWestern SaharaYemen Republic ofZaireZambiaZimbabwe

Relative 1 Phone

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Name of Relative 2 First Name

Last Name

Relative 2 Mailing Address

City

State Select StateAlabamaAlaskaAlbertaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Country Select CountryUnited StatesCanadaJapanUnited KingdomAustraliaGermanyFranceSwitzerlandItalyNetherlandsAlbaniaAlgeriaAmerican SamoaAndorraAnguillaAntarticaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBotswanaBouvet IslandBrazilBritish Indian Ocean Terr.Brunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslColombiaComorosCongoCook IslCosta RicaCote D'IvoireCroatiaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEstoniaEthiopiaFaeroe IslandsFalkland Isl. (Malvinas)FijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern Terr.GabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernsey C.I.GuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsle of ManIsraelItalyJamaicaJapanJersey C.I.JordanKazakhstanKenyaKiribatiKorea Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxemborgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslMartiniqueMauritaniaMauritiusMexicoMicronesiaMoldova Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherland AntillesNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslNorthern Mariana IslNorwayOmanPakistanPalauPanamaPanama Canal ZonePapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts & NevisSaint LuciaSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSt. Vincent & GrenadinesSurinameSvalbard & Jan Mayen IslSwazilandSwedenSwitzerlandTaiwanTajikistanTanzania United RepublicThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslTuvaluU.A.E.U.S.Minor Outlying IslUgandaUkraineUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Isl (British)Virgin Isl (U.S.)Wallis & Futuna IslandsWestern SaharaYemen Republic ofZaireZambiaZimbabwe

Relative 2 Phone

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Name of Employer * First Name

Last Name

Employer Mailing Address

City

State Select StateAlabamaAlaskaAlbertaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Country Select CountryUnited StatesCanadaJapanUnited KingdomAustraliaGermanyFranceSwitzerlandItalyNetherlandsAlbaniaAlgeriaAmerican SamoaAndorraAnguillaAntarticaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBotswanaBouvet IslandBrazilBritish Indian Ocean Terr.Brunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslColombiaComorosCongoCook IslCosta RicaCote D'IvoireCroatiaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEstoniaEthiopiaFaeroe IslandsFalkland Isl. (Malvinas)FijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern Terr.GabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernsey C.I.GuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsle of ManIsraelItalyJamaicaJapanJersey C.I.JordanKazakhstanKenyaKiribatiKorea Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxemborgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslMartiniqueMauritaniaMauritiusMexicoMicronesiaMoldova Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherland AntillesNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslNorthern Mariana IslNorwayOmanPakistanPalauPanamaPanama Canal ZonePapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts & NevisSaint LuciaSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSt. Vincent & GrenadinesSurinameSvalbard & Jan Mayen IslSwazilandSwedenSwitzerlandTaiwanTajikistanTanzania United RepublicThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslTuvaluU.A.E.U.S.Minor Outlying IslUgandaUkraineUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Isl (British)Virgin Isl (U.S.)Wallis & Futuna IslandsWestern SaharaYemen Republic ofZaireZambiaZimbabwe

Employer Phone

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Name of Co-Applicant Employer * First Name

Last Name

Co-Applicant Employer Mailing Address

City

State Select StateAlabamaAlaskaAlbertaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Country Select CountryUnited StatesCanadaJapanUnited KingdomAustraliaGermanyFranceSwitzerlandItalyNetherlandsAlbaniaAlgeriaAmerican SamoaAndorraAnguillaAntarticaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBotswanaBouvet IslandBrazilBritish Indian Ocean Terr.Brunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslColombiaComorosCongoCook IslCosta RicaCote D'IvoireCroatiaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEstoniaEthiopiaFaeroe IslandsFalkland Isl. (Malvinas)FijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern Terr.GabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernsey C.I.GuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsle of ManIsraelItalyJamaicaJapanJersey C.I.JordanKazakhstanKenyaKiribatiKorea Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxemborgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslMartiniqueMauritaniaMauritiusMexicoMicronesiaMoldova Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherland AntillesNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslNorthern Mariana IslNorwayOmanPakistanPalauPanamaPanama Canal ZonePapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts & NevisSaint LuciaSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSt. Vincent & GrenadinesSurinameSvalbard & Jan Mayen IslSwazilandSwedenSwitzerlandTaiwanTajikistanTanzania United RepublicThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslTuvaluU.A.E.U.S.Minor Outlying IslUgandaUkraineUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Isl (British)Virgin Isl (U.S.)Wallis & Futuna IslandsWestern SaharaYemen Republic ofZaireZambiaZimbabwe

Co-Applicant Employer Phone

If no employment, give source of income

Optional

Cookson Hills is required by lenders to identify and document as accurately as possible the racial/ethnic data on the eligible population in our service area. We would appreciate your checking the appropriate group listed below. The information you provide will be used only for Federal Government Reporting purposes. Should you have any questions, you may contact the Cookson Hills Manager or a Member Services Representative at 1-800-328-2368.

Applicant Racial / Ethnic Group:
White (not of Hispanic Origin)
Black (not of Hispanic Origin)
American Indian or Alaskan Native
Asian or Pacific Islander
Hispanic
Other

If other, please specify (Applicant)

Co-Applicant Racial / Ethnic Group:
White (not of Hispanic Origin)
Black (not of Hispanic Origin)
American Indian or Alaskan Native
Asian or Pacific Islander
Hispanic
Other

If other, please specify (Co-Applicant)

Please read

I, the undersigned, do hereby acknowlede and understand that federal law prohibits me from removing a meter seal or disconnecting any Cookson Hills Electric Cooperative meter, survey or control device. Furthermore, I understand that failure to comply with this may be considered meter tampering, a crime punishable by fine and/or imprisonment. The minimum to reconnect such a device is $25.00

I have read the above paragraph *
Yes

Please select one or more of the following services in which you wish to participate:
Monthly Fire Department Billing
Release of Information to 911
Automatic Bank Draft
Automatic Credit Card Draft
Security Light

If you choose Automatic Bank Draft or Fire Department Billing, you must complete the forms associated with each of those choices.  The forms are located under Service - SetUp Service.  Should you choose Automatic Credit/Debit Draft, you will be required to set up a Smart Hub account so that you can create the draft.

Please Read

To verify the amount required for a security deposit and to verify identity, the Applicant and/or Spouse/Co-Applicant do hereby authorize the Cooperative to run reports/identity checks, which requires the disclosure of Applicant's and/or Spouse's/Co-Applicant's social security number. I have authority to sign this agreement on behalf of my Spouse and/or Co-Applicant.

I have read the above paragraph *
Yes

Telephone Consumer Protection Act

I agree to receive periodic autodialed or prerecorded calls and/or text messages from Cookson Hills Electric Cooperative, Inc. from the number(s) 800-328-2368 and/or 918-775-2211. I understand that such calls and/or texts may relay information about Pay-As-You-Go prepaid account balances, default accounts, planned outages, and any other information pertaining to the safety of the public, and that I can opt out of receiving such calls and texts at any time. I agree to notify Cookson Hills Electric Cooperative, Inc. immediately in the event that I voluntarily or involuntarily relinquish any cellular number(s) identified.

I have read the above paragraph *
Yes

Authentication Text *

Please enter the code into the box on the left.