Application for Membership

To establish electric service with Taylor Electric Cooperative please complete the below application.
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:   *
First Name:   *
Last Name:   *
Middle Initial:  
Social Security #:-  -   *
Driver's License #:  *
License State:  
Birth Date:    
Employer:  

Mailing Address:
Please enter the address where bills should be sent:

Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Please enter the street address where you require service:

Service Address:   *
Service Type (Construction Required or Existing Service):   *
Directions to Service Location:  
E-mail:  *
Confirm E-mail:  *
Home Phone:-  -    *
Cell Phone:-  -    *
Work Phone:-  -     
Spouse or Co Member Name: 
Spouse or Co Member SSN:-  -   
Co Applicant Driver's License:  
Co Applicant License State:  
Co Applicant Birth Date:    
Co Applicant Employer:  
Cell Phone:  

As one of our services, we provide an online application for viewing and paying bills. If you would like to use this service, please specify an Internet Password and Password Hint at this time. For security purposes, please specify a Password that is at least 8 characters in length.
Internet Password:  
Confirm Internet Password:  
Password Hint:

Existing Service:
Do you currently or have you previously had service with Taylor Electric Cooperative?    

Account Number:

You will need to provide a copy of the rental agreement or contract/deed showing ownership.
This may be faxed to (325)795-8120. or emailed to billingdept@taylorelectric.coop.


Do you Rent or Own this location?   *
Operation Round Up

Operation Round Up rounds your bill up to the nearest dollar. The extra change goes into an account that is donated to area volunteer fire departments.

I would like to participate in Operation Round Up:


   *
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 terms & conditions. By checking this box you are agreeing to the terms and conditions of Taylor Electric Cooperative.