Application for Service and Membership

Members requesting service must complete this application for service and pay a $20.00 set up fee for each meter. All members will be subject to a credit summary obtained through Southwest Electric Cooperative’s online utility exchange service. A member’s security deposit will be determined based on information obtained from the credit summary, along with the usage history at the location in which service is being requested.

If you have any questions regarding setting up service, please feel free to contact our office at (417) 326-5244 or toll-free at (800) 262-0326.

Note: All fields with the asterisk (*) are required.

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Applicant Information
First Name:		   *
Last Name:   *
Social Security Number:--  *
Birth Date:    
Ethnicity:
*Business accounts select "Not Applicable"		  

Mailing Address
Please enter the address where correspondence should be sent:
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Property Address
Please enter the street address/description where service is required:
Service Address:  
Meter #
BOLD NUMBERS UNDER THE DIGITAL DISPLAY:		  
Comments:
*If this is for new construction, be sure to include "new construction" in the comments		  
E-mail:  *
Confirm E-mail:  *
*Please note, the primary phone number will be used for important notification calls from SWEC. If primary and cell are the same, please enter in both field areas.
Primary Phone:		--   *
Cell Phone:--   *
Secondary Phone:--   
Co Applicant Information
Name:		 
Social Security Number:-- 
Birth Date:    
Email:  
Other Contact:  

Online Access
We offer a varity of online services that our customers may use through our website.  As one of our services, we provide an online system for viewing and paying bills.  Please specify an internet password at this time. Requirements for a password are a combination of uppercase letters, lowercase letters, numbers, and symbols (!@#$%^&*) and a minimum of 10 characters.
Internet Password:  *
Confirm Internet Password:  

Existing Service
Have you ever had service with us before?

    
Account Number:

Fee & Deposit Information
A $20.00 Set up Fee per meter will apply to start new service. In addition, a $20.00 Connect Fee and a Deposit may also be required. A member’s security deposit will be determined based on information obtained from the credit summary, along with the usage history at the location in which service is being requested. When your account is created, you will receive an email with the total amount due on your new account, including deposit amount, if applicable.

The Availability Charge is a flat fee charged to all services to recover a portion of the costs required to make electricity available to your service 24-hourse a day. Examples of these costs include the poles, wires, transformers, equipment, personnel, offices, etc. needed to build and maintain Southwest's system. The availability charge does not include electric usage. Electric usage is billed under the Energy Charge which is any kilowatts used during the billing period multiplied bu the current per kilowatt-hour rate.

To avoid paying a deposit (based on credit check, if applicable), the cooperative has a prepaid metering program available to most members (single phase, non-demand members with up to a 200 AMP service). Prepaid accounts require a set up fee of $20.00, a connect fee of $20.00, and a minimum of $60.00 for daily usage ($100.00 minimum total) for initial service.  No deposit is required.

Alerts
Prepaid accounts bill each day so no paper bills are mailed out. To monitor your electric use and balance, alerts are setup (default alerts will be set up for you). These can be changed at any time on the SWEC App or Portal.

Set Up Fee:  

Would you like this to be a Prepaid Account? Yes/No  *
Predominant Use of Electricity
Indicate Residential, Agriculture, Commercial (income producing) or Other/Specify:		  *
Cell Phone Provider: we must have the provider associated with Cell Phone number provided above in order for notifications to be sent via text.  
Do you own or rent this property?   *
Default Billing Method:  
 
By submitting this application request, I confirm that I have read and understand the terms of service and By-Laws of Southwest Electric Cooperative. Furthermore, I understand that by checking this box I am signing my name to and agreeing to the terms of service and membership of the Cooperative. I also understand that a credit summary will be run in order to determine if a deposit is required.
Notifications & ebill may be sent via email and/or text. By checking the box and initialing I understand that I may have the option for a prepay account and have read the Prepay Participation Agreement and understand and agree to all terms including section 5, 6, and 7.
  Initial     *