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:   *
First Name:   *
Last Name:   *
Social Security Number:-  -   *
Birth Date:    

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:  
E-mail:  *
Confirm E-mail:  *
*Please note, the primary phone number will be used for important notification calls from SWEC.
Primary Phone:
-  -    *
Secondary Phone:-  -     
Co Applicant Name: 
Co Applicant SSN:-  -   
Co Applicant Birth Date:    
Co Applicant 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 and password hint at this time.

Internet Password:  *
Confirm Internet Password:  
Password Hint:

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.


Set Up Fee:  

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 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.
  Initial     *