$
PAY MY BILL
UPDATE MY INFO
MY POWER
REPORT AN OUTAGE
$
PAY MY BILL
UPDATE MY INFO
MY POWER
REPORT AN OUTAGE
ACCOUNT SERVICES
PAYMENT & BILLING
MEMBER PROGRAMS
APPLY FOR SERVICE
MY POWER
REPORT AN OUTAGE
APPLY FOR SERVICE
OUTAGE CENTER
COMMUNITY & OUTREACH
ECONOMIC DEVELOPMENT
SAFETY AWARENESS
YOUTH & EDUCATION
COVID-19
TECHNICAL SERVICES
OUR CO-OP
ABOUT
CAREERS
RESOURCES
PRESS RELEASE
VIDEO ARCHIVE
FAQ
CONTACT US
ACCOUNT SERVICES
COMMUNITY & OUTREACH
TECHNICAL SERVICES
OUR CO-OP
RESOURCES
CONTACT US
MY POWER
REPORT AN OUTAGE
ONLINE APPLICATION
TAP INTO THE POWER
We've made it as easy as possible
for you to become a member in our co-op.
Don't Want To Apply Online?
CLICK HERE
MEMBER INFORMATION
Full Name:
Birth Date:
SS/FED ID:
Driver's License:
Email:
Home Phone:
Work Phone:
Cell Phone:
Billing Address:
City:
State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Employer:
Employer Address:
Government Issued ID:
LOCATION INFORMATION
Service Address:
City:
County:
State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Structure Type:
House
Single-Wide
Double-Wide
Other
Trailer Reg #:
Other (Describe)
Do You Own or Rent?
Own
Rent
Landlord Name:
Landlord Address:
City:
State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Landlord Phone:
Landlord Cell:
Location Type:
Residential
Business
Business Account Type:
Agricultural
Commercial
Governmental
Other
Describe Other:
Business Type:
Sole Proprietor
Partnership
Corporation
Non-Profit
State Tax #:
Business Contact Name Phone, Email:
SPOUSE / OTHER INFO
Spouse / Other?
Yes
No
Name:
SSN:
Email:
Employer
Cell Phone:
Work Phone:
Other Authorized User?
Yes
No
Other Authorized Party:
Relationship:
Authority By Power of Attorney?
Yes
No
Other
Describe Other:
EMERGENCY CONTACT
Name:
Relationship:
Phone:
Address:
City:
State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
ADDITIONAL INFO
Have You Been A Member of This Cooperative Before?
Yes
No
Name, Address, and Date:
Do You Owe Outstanding Debts to Southern Pine?
Yes
No
Explain:
I (hereinafter called the “Applicant”) have read and agree to the
Service Application Guidelines
and the
Member By-Laws
and hereby apply for membership and agree to purchase electric energy from Southern Pine Electric.
SUBMIT