Fillable Form 3518: APPLICATION FOR RESIDENTIAL MEMBERSHIP AND SERVICE

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Form 3518: APPLICATION FOR RESIDENTIAL MEMBERSHIP AND SERVICE

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Aiken Electric Cooperative, Inc.
Aiken
P.O. Box 417 - 2790 Wagener Road
Aiken, South Carolina 29802-0417
Phone (803) 649-6245 - Fax (803) 641-8310
www.aikenco-op.org - aec@aikenco-op.org
New Ellenton
PO Box 411 / 319 Main St
New Ellenton, SC 29809
803-652-2226
Fax 652-
3518
Edgefield
P
O Box 583 / 1195 Bauskett St
Edgefield, SC 29824
803-637-3189 / 800-290-0413
Fax 637-3720
North
P
O BOX 520 / 8381 North Rd
North, SC 29112
80-247-2121 / 800-453-1934
Fax 247-5656
APPLICATION FOR RESIDENTIAL MEMBERSHIP AND SERVICE
T
he undersigned hereby applies for membership in Aiken Electric Cooperative, lnc., (Herein called "Cooperative") the fee to be based upon the rate
classification of service rendered. All Cooperative services shall be furnished at established rates.
I will comply with the by-laws, rules and regulations of the Cooperative. My indebtedness will be paid when due. Should my account become
delinquent, electric service may be promptly discontinued. Thereafter my membership fee, deposit and any capital credits to which I am entitled may
be credited against my indebtedness. Applicant agrees to pay all cost of collection including attorney fees, collection fees, and contingent fees to
collection agencies of 26%, such contingency fee to be added and collected by the collection agency immediately upon your default and our referral of
your account to said collection agency.
I
grant to the Cooperative the right to construct, operate, maintain, replace and relocate upon my land identified above, an electric distribution and/or
service line, and also to keep same clear of shrubbery and dangerous trees and the use of herbicides to control such.
"
The Board of Trustees is hereby authorized (during the term of my membership) to charge against the property interest of my capital credits an
amount to be applied to the cost of a year's subscription to Living in South Carolina Magazine."
Corporate Seal
This is to be Membership of undersigned only This is to be Joint Membership of married couple
___________________________________________________ ___________________________________________________
Applicant Signature Spouse Signature
___________________________________________________ ___________________________________________________
Printed Name Spouse Printed Name
Social Security Number ________________________________ Social Security Number________________________________
Driver’s License Number _______________________________ Driver’s License Number ______________________________
Address to be connected ________________________________________ City______________________________ Zip_________
Mailing Address: ______________________________________________ City ____________________State _____ Zip_________
Primary E-mail Address: ________________________________ Secondary E-mail Address: _____________________________
Phone Number: H _________________ W _________________ C _________________ Requested connection date ______________
As an Aiken Electric Cooperative member, I may receive phone notifications including automated calls unless requested otherwise.
Optional:
White
Black or African American (Not Hispanic or Latino)
Hispanic or Latino
Asian (Not Hispanic or Latino)
American Indian/ Alaska Native (Not Hispanic or Latino)
Native Hawaiian / Pacific Islander (Not Hispanic or Latino)
Two or more races (Not Hispanic or Latino)
Membership fee
Processing fee
Security deposit
Please Fax a copy of driver’s license and social security card. ATTENTION: _______________
For Official Use
Date_________ Account number _____________ Location __________________
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signature
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Explanation of Programs and Options
Go Green, Save Green
Save $12 the first 12 months you pay your bill with E-Billing and Bank Draft. You will receive $1 Bill Credit per month for
the first 12 months you go green and utilize the environmentally friendly options.
E-Billing
With E-Billing, you'll get your bill in an e-mail each month showing you your latest statement. E-Billing also lets you view
your account history online.
Bank Draft
Aiken Electric's Draft Bank automatically drafts your checking account each month for the amount of your electric bill.
You'll still get a monthly statement showing how much electricity you used and the costs.
Credit Card Draft
Aiken Electric's Credit Card Draft automatically drafts your Visa or Master Card account each month for the amount of
your electric bill. You'll still get a monthly statement showing how much electricity you used and the costs.
Paper Bill
As an Aiken Electric Cooperative member you have the option of receiving an electronic billing statement or a paper
billing statement.
Auto-Pay
One time set up that allows you to automatically charge payment to a credit card account or subtract from your checking
or savings account on the same day every month.
Phone Payment Options
For your convenience Aiken Electric Cooperative accepts Master Card, Visa, and Electronic Check payments via phone.
Our automated payment system can be accessed 24hours a day at 803-649-6245. (Profile must be set previously set up
for use.)
Pay By Net Options
Please visit www.aikenco-op.org to access your account, pay your bill and obtain information on Aiken Electric
Cooperative programs and policies. Members can also easily access their account history and see how energy is being
used in their home.
Advance Pay
A prepay account is set up so the member pays in advance of using electricity. Current members pay no disconnect or
reconnect fees. With the prepay account, new members are allowed to begin service without paying a deposit. Members
make small payments with increased frequency.
Operation Round Up®
Operation Round Up® is a volunteer participation program for AEC members to help provide food, shelter, clothing,
healthcare and other services to those in our communities who need it the most. Each member's electric bill is rounded
up to the next highest dollar amount, resulting in an average contribution of about $6 each year. If you would like to opt-
out, please call 803-649-6245.
Security Deposit Options
• $500.00 monetary p
ayment - Installment plan may be offered.
• Acceptabl
e letter of credit from a previous power supplier - This letter of credit must indicate that service has
been in good standing, with no more than two nonconsecutive late payments, no returned checks, and no
disconnects in the past 12 calendar months.
• Electric Service Deposit Cosigner Agreement - Cosigner agreement must be signed by current member that is
in good standing
with Aiken Electric Cooperative.
• Acceptable credit
rating from the Cooperative designated Credit Bureau
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Form 3518: APPLICATION FOR RESIDENTIAL MEMBERSHIP AND SERVICE

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Completed 13 October 2020

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