Application for Membership

To establish 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:    

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:   *
E-mail:  *
Confirm E-mail:  *
Home 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:    
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.

Membership Fee:  

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:
*a $5 monthly credit will be applied for Ebill and Auto Pay participation		   *
 
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. I understand that a credit check will be run to determine deposit amount, if applicable.