Add Co-Applicant

Form for active members that are needing to add a secondary account holder.

Account Number(Required)

Service Address

Physical Address of Service Location Address Line 2 City State ZIP Code

Does your mailing address need to be updated?(Required)

Yes

Mailing Address

Mailing address for bill statement Address Line 2 City State ZIP Code

Member Name

Name(Required)

First Last

Social Security Number(Required)

Please enter a number greater than or equal to 0.

Email Address(Required)

Home/Primary Phone

Cell Phone

Drivers License(Required)

Accepted file types: gif, jpg, png, svg, jpeg, Max. file size: 20 MB.

Main Applicant Signature(Required)

Date

Time

Co-Applicant

Name

First Last

Co-Applicant Social Security Number(Required)

Form does not retain 0s at the beginning of a number’s field, if your SSN starts with a 0 please note below.

Co-Applicant Home/Primary Phone

Co-Applicant Cell Phone

Co-Applicant Drivers License(Required)

Accepted file types: gif, jpg, png, svg, jpeg, Max. file size: 20 MB.

Co-Applicant Signature(Required)

Co-Applicant Date

Co-Applicant Time

Notes

Terms of Agreement

Co-Applicant agrees to become a member and comply with and be bound by the Cooperative’s articles of incorporation, bylaws and tariffs, including rate schedules and service rules. Rates may be changed by the Cooperative’s board of directors in the manner provided by law. Member shall grant to Cooperative written easement(s) satisfactory to the Cooperative that are necessary for a cooperative purpose including providing electric service to Member or other members or applicants for the Cooperative’s service. Access is required for inspection and line maintenance purposes. Member/Consumer agrees to provide access for all utility purposes. Member/Consumer agrees to allow Fannin Electric Co-op. to install a lock if there is or ever shall be a locked gate at this location.

All Applicants subject to ID verification and credit report review. False, inaccurate or incomplete information will invalidate the application until discrepancies are resolved.

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Go to My Account

Add Co-Applicant

Add Co-Applicant

Member Name

Co-Applicant

Terms of Agreement

Address

Mailing Address

Office Hours

Contact

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