Electric Service Sign Up

Please complete the application below to request electric service. A Member Service Representative will contact you to complete set-up.
If you have any questions regarding new service, please contact us at 325-793-8500.

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

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Member Information:
First Name:		   *
Last Name:   *
Middle Initial:  
Social Security #:--  *
Driver's License #:  *
License State:  
Birth Date:
(mm/dd/yyyy format)		    
Cell Phone Provider:  

Mailing Address:
*if Apt. # is applicable, please include on line 1
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Service Address: (Physical 911 Address of Location)
Service Address:   *
E-mail:  *
Confirm E-mail:  *
Home Phone:--   *
Cell Phone:--   *
Work Phone:--   
Co Applicant Information:
Name:		 
Social Security #:-- 
Driver's License #:  
License State:  
Birth Date:
(mm/dd/yyyy format)		    

Member Portal Access:
We offer a portal for online bill payment and account management.  If you would like access to your account online, please create a password and password hint now for easy access to your account at https://payonline.taylorelectric.com/oscp/.  Please note: Passwords must be a combination of letters and numbers.
Internet Password:  
Confirm Internet Password:  
Password Hint:

Existing Member:
Have you ever had service with Taylor Electric Cooperative?

    
Account Number:

Membership Fee:  

Which type of billing option do you prefer? (Easy Pay or Monthly)  *
Please provide your cell phone provider to receive text alerts:  *
Access Fiber provides high speed, fiber based internet service at competitive rates. For more information click here. Would you like for us to contact you about Access Fiber? (yes or no)  *
Outdoor Lighting If there is an outdoor light at your location, would you like to keep it? (yes or no)
*there is a monthly cost for an outdoor light.		  *
Do you own or rent the service location?   *
Would you like to participate in Operation Round Up?
Your bill will be rounded up to the nearest dollar to help area volunteer fire departments. Operation Round Up funds are distributed to all member volunteer fire departments.		   *
Please select your preferred Billing Method:   *
 
The applicant (the ‘Member’) hereby completed this application and agrees to purchase service from Taylor Electric Cooperative, Inc. (the ‘Cooperative’) upon the Residential terms and conditions and/or Commercial terms and conditions. By checking this box you are agreeing to the respective Residential and/or Commercial terms and conditions of Taylor Electric Cooperative. 

By submitting this application request, I consent to allow Taylor Electric Cooperative to run a check to verify that my social security number and the name on my application match and/or to determine if a security deposit is required. I also give Taylor Electric Cooperative express consent to send SMS text alerts, emails and phone calls to inform me of account activity such as billing and outages.  If my mobile phone number or email address changes, I agree to notify Taylor Electric Cooperative of these changes or update my account profile information through https://taylorelectric.com/.

Easy Pay Program:
I agree to the Terms and Conditions of the Easy Pay Program.

We will send you a daily email and/or text notification(s) showing your daily usage and balance and we will also send you a text message when your balance gets low. You can manage your notifications and alerts at https://taylorelectric.com/. 
I understand that checking this box and typing my name in the field provided below is my electronic signature.
  Member Name:     *