Application for Electric Service and Membership

Applicant Information

Section 1: Applicant Information

Type of Membership
Type of Account
Applicant's Name
Title
Owner or head of Organization
Owner or Head of Organization
Other Representatives of Organization
more items
Joint Applicant #1
Joint Applicant #2

Contact Information

Section 2: Contact Information

Service Address (Location of Meter)
I would like my bills sent to:
Billing Address (Paper Bills)
I would like my board election ballot sent to:
Member Address (Ballots)
For all, please use the format, XXX-XXX-XXXX

Section 3: Property Information

Property Information
Are you purchasing this property?
Location has existing solar net meter system?

Confirmation

Section 4: Confirmation

The Applicant(s) agree to be responsible for the electric charges at the location designated below until such time that the Applicant(s) request in writing a discontinuance of service. It is agreed that all bills will be paid by the appropriate due date and failure to do so may result in discontinuance of service. This application for electrical service shall constitute a service contract between the Applicant(s) and the Association. The Applicant(s) agree to be bound by the Rules and Regulations of the 
Association. In the event that this application is not signed, it is agreed  that the Applicant(s) use of electric service shall constitute a service contract just as though the application were signed. Applicant(s) agree to pay court costs, reasonable attorney's fees, and all collection costs if in default of this agreement.  Applicant(s) agree that a facsimile of the original will be considered as valid as the original.  The Consumer assumes all responsibility on the Consumer's side of the point of delivery for service supplied or taken, as well as for the electrical installation and 
appliances used in connection with such service and will indemnify, save harmless and defend the Association against all claims, demands, cost or expense, for loss, damage to or injury to persons or property, in any manner directly or indirectly connected with, or growing out of, the transmission or use of electric service, by the Consumer, at or on the Consumer's side of the point of delivery. San Miguel Power Association 
is not liable for any damage to the Consumer's electronic equipment.  Point of Use surge protection should be installed to protect these.

NOTE:  A Member Service Representative will contact you by phone or email in order to discuss deposit options.

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"Green Cents Logo"All new accounts are automatically enrolled in SMPA's Green Cents Roundup Program.  For information on the Green Cents Roundup program and/or to opt-out of this program, please contact our office.

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