Individual Application for Service

Contact Information
Contact Info
E-911 Address of Location Where Service Will Be Installed
Please scan and upload a copy of your driver's license.
One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, svg.
Please scan and upload a copy of your driver's license.
One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, svg.

Service Information

To be occupied:
Type of Service
Is this a new or existing construction?
No electric service currently exists at this location.
Someone previously had service at this location.
Yard Light
Do you want a yard light?
Yard Light Contract

We the undersigned in consideration of the mutual covenants and agreements herein contained do contract and agree with each other as follows:
 

  1. Membership: If not already a member, the Consumer will become a member of PEC and will be bound by PEC's "Terms and Conditions for Electric Service", and applicable rates as modified from time to time.
  2. Facilities: PEC will                           (Install or Reconnect) a light at the Member's service location. The light will be installed on an existing pole at no additional charge or on a new pole at the Member's expense per the current applicable fee
  3. Continuity of Service:

    A. PEC will use reasonable diligence to provide for continued and uninterrupted operation of the light. If the light should fail, be interrupted or become defective through an act of God, governmental authority, action of the elements, public enemy, accident labor trouble or strikes, faulty equipment for any other cause beyond the control of PEC, PEC shall not be liable for any damages caused thereby.

    B. It shall be the Member's responsibility to notify PEC should the light cease to work. If PEC is unable to repair or replace the light within four (4) working days after the reported failure, a credit of 1/30 of the monthly charge per day for all days above four (4) will be discounted to the Member upon request.

    C. The Member shall protect the light from intentional damage arising from vandalism. PEC reserves the right to bill the Member for the cost of repair or replacement of the light when repeatedly damaged by vandalism. The Member shall not make any attachment to the pole and agrees to pay PEC for removal of any unauthorized attachment.
  4. Right of Access: The member grants to PEC a right-of-way for its use in constructing and/or maintaining the electric service and any appurtenances thereto. The right-of-way shall include a space not less than ten (10) feet in width beginning at the desired point of delivery and extending to the nearest utility line with adequate capacity. The member grants to PEC the right to cut, trim or control by chemical means any brush, plants, or trees within the right-of-way and to side trim any trees outside the right-of-way.  The member further grants to PEC the right to cut all dead or danger trees that are near the power line.
  5. Construction Charges: If a new pole is required, the member agrees to pay the applicable construction costs based on the current PEC rates and fees.
  6. Rates: The rate charged for the light shall be $                  , or the current applicable rate as modified from time to time, plus applicable tax for each month or any portion of a month exceeding five (5) days
  7. Relocation: PEC will relocate an existing light currently in service based on the current PEC rates and fees. The member agrees to pay the moving charge and to a two (2) year service contract prior to relocating the pole.
  8. Term: This agreement will become effective on (date)                              ,20_, and will continue in effect for.................... months (24 for new installations/ 12 for reconnects) and thereafter until terminated by the Member. The Member may terminate service early by paying in full the remaining monthly bills needed to complete the contract agreement period. The agreement shall be binding upon and issue to the benefit of the successors, legal representatives and assigns of the Member.
  9. Default: In the event of default by the Member, PEC will undertake legal action (including lawsuit) to collect the unpaid portion of the construction and/or monthly charges.  The Member agrees to pay all court costs and a reasonable attorney's fee for such action. The Member expressly agrees to waive all exemptions secured to said Member under the laws of Alabama or any other state against collection of any debt hereby or herein occurred 
    This contract contains the entire agreement of the parties concerning the construction and/or maintenance of the utility line for said lighting purpose
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Billing Information

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Standard residential rate plan.
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Select your billing cycle:
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Do you want to pay using AutoDraft?
I already have autodraft on an existing account. Please use the same bank information for this new account.
Account Type (Check One):
Please upload a copy of a check. One file only.
One file only.
20 MB limit.
Allowed types: gif, jpg, png, svg.

By signing below, I authorize Pioneer Electric Cooperative to draft the stated bank account for the above listed account(s). I understand that it usually takes two billing periods to set up this draft with the bank and that I may need to make the next payment as usual.

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By signing this agreement, I understand that I am joining Pioneer Electric Cooperative, Inc., and that as a member of the cooperative I have certain rights and responsibilities.  The rights include voting on bylaw changes and the Board of Trustees.  The responsibilities include following the policies and bylaws of the cooperative, which can be found on the cooperative’s web-site at www.pioneerelectric.com.
I agree to pay for my services in a timely manner, and understand that failure to pay will result in having my services terminated.  In the event that my services are terminated, additional fees and deposits may be required to have my services restored.
I agree to grant the cooperative an easement for power lines for my service, as well as for additional services that might be located near to my service.  In addition, I agree to allow cooperative employees and agents to come upon my property to maintain and restore services.  Part of that maintenance may include the cutting or spraying of bushes, shrubs and trees that may interfere with power lines.
I /We agree, in order for Pioneer to service my/our account or to collect monies I/we may owe, Pioneer Electric Cooperative, Inc., and/or its agents may contact me/us by telephone at any telephone number associated with my/our account, including wireless telephone numbers, which could result in charges to me/us. Pioneer may also contact me/us by sending text messages or emails, using any email address I/we provide to pioneer.  Methods of contact may include using pre-recorded/artificial voice messages and/or use of automatic dialing device, as applicable. I/We have read this disclosure and agree that Pioneer Electric Cooperative, Inc., its employees and/or agents may contact me/us as described above.
If you pay toward construction, the money you pay is a contribution- you are not purchasing the poles and lines for yourself, and therefore, you have no ownership rights in them; They are all owned and maintained by pioneer electric. Therefore, if, in the future, other members desire to make a connection to the poles or wires for which you contributed toward the installation, you cannot prevent them from doing so, as you have no ownership rights in them, other than those same rights afforded to every Pioneer Electric member.
I/We volunteer to participate in Operation Round Up, a charitable program that provides financial assistance to organizations and individuals in our community. I understand that I can opt out at any time.
I hereby acknowledge and attest that all of the information that I have provided on this application is true and correct to the best of my knowledge.
Main Applicant

By signing below, I attest that I have read and understand this application and its attachments.

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Spouse
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