{"id":38595,"date":"2023-09-01T22:46:41","date_gmt":"2023-09-02T03:46:41","guid":{"rendered":"https:\/\/www.tcec.coop\/?page_id=38595"},"modified":"2023-09-20T16:09:51","modified_gmt":"2023-09-20T21:09:51","slug":"new-residential-service","status":"publish","type":"page","link":"https:\/\/www.tcec.coop\/services\/new-residential-service\/","title":{"rendered":"New Residential Service"},"content":{"rendered":"<h2>Start Service<\/h2>\n<p>To start new service at an existing, metered location complete the following application for residential service.<\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_30' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Residential Service Application<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_30'  action='\/wp-json\/wp\/v2\/pages\/38595' data-formid='30' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_30' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_30_6\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_6\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Date Service is Desired (mm\/dd\/yyyy)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_30_6' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_30_6_1_container'>\n                                            <label for='input_30_6_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                            <input type='number' maxlength='2' name='input_6[]' id='input_30_6_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_30_6_2_container'>\n                                            <label for='input_30_6_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                            <input type='number' maxlength='2' name='input_6[]' id='input_30_6_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_30_6_3_container'>\n                                            <label for='input_30_6_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                            <input type='number' maxlength='4' name='input_6[]' id='input_30_6_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2025' step='1'\/>\n                                       <\/div>\n                                   <\/div><\/fieldset><fieldset id=\"field_30_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_10\" ><legend class='gfield_label gform-field-label' >Membership Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_30_10'>\n\t\t\t<div class='gchoice gchoice_30_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Individual'  id='choice_30_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_30_10_0' id='label_30_10_0' class='gform-field-label gform-field-label--type-inline'>Individual<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_30_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Joint'  id='choice_30_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_30_10_1' id='label_30_10_1' class='gform-field-label gform-field-label--type-inline'>Joint<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_30_8\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_8\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Applicant Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_30_8'>\n                            \n                            <span id='input_30_8_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_30_8_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_8.3' id='input_30_8_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_30_8_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_30_8_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_8.6' id='input_30_8_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_30_14\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_14\" ><label class='gfield_label gform-field-label' for='input_30_14'>Social Security Number (SSN)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_30_14' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_30_11\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_11\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Second Applicant<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_30_11'>\n                            \n                            <span id='input_30_11_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_30_11_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_11.3' id='input_30_11_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_30_11_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_30_11_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_11.6' id='input_30_11_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_30_15\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_15\" ><label class='gfield_label gform-field-label' for='input_30_15'>SSN<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_30_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_30_16\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_16\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Authorized User<\/legend><div class='gfield_description' id='gfield_description_30_16'>Authorized users can make payments, arrangements, and access account information. They cannot change an account and will not accrue capital credits like an applicant would.<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_30_16'>\n                            \n                            <span id='input_30_16_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_30_16_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_16.3' id='input_30_16_3' value=''   aria-required='false'     \/>\n                                                <\/span>\n                            \n                            <span id='input_30_16_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_30_16_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_16.6' id='input_30_16_6' value=''   aria-required='false'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_30_19\" class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_19\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_30_19'>Where bills should be sent.<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_30_19' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_30_19_1_container' >\n                                        <label for='input_30_19_1' id='input_30_19_1_label' class='gform-field-label gform-field-label--type-sub '>Mailing Address \/ PO Box<\/label>\n                                        <input type='text' name='input_19.1' id='input_30_19_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_30_19_2_container' >\n                                        <label for='input_30_19_2' id='input_30_19_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_19.2' id='input_30_19_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_30_19_3_container' >\n                                    <label for='input_30_19_3' id='input_30_19_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_19.3' id='input_30_19_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_30_19_4_container' >\n                                        <label for='input_30_19_4' id='input_30_19_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_19.4' id='input_30_19_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_30_19_5_container' >\n                                    <label for='input_30_19_5' id='input_30_19_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_19.5' id='input_30_19_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_19.6' id='input_30_19_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_30_21\" class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_21\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Service Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_30_21'>Physical address where service is located.<\/b> This cannot be a post office box. <\/div>    <div id='input_30_21_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_30_21_copy_values_activated' class='copy_values_activated' value='1' data-source_field_id='19' name='input_21_copy_values_activated'  \/>\n                                        <label for='input_30_21_copy_values_activated' id='input_30_21_copy_values_option_label' class='copy_values_option_label inline gform-field-label gform-field-label--type-inline'>Same as previous<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_30_21' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_30_21_1_container' >\n                                        <label for='input_30_21_1' id='input_30_21_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_21.1' id='input_30_21_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_30_21_2_container' >\n                                        <label for='input_30_21_2' id='input_30_21_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_21.2' id='input_30_21_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_30_21_3_container' >\n                                    <label for='input_30_21_3' id='input_30_21_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_21.3' id='input_30_21_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_30_21_4_container' >\n                                        <label for='input_30_21_4' id='input_30_21_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_21.4' id='input_30_21_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_30_21_5_container' >\n                                    <label for='input_30_21_5' id='input_30_21_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_21.5' id='input_30_21_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_21.6' id='input_30_21_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_30_22\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_22\" ><label class='gfield_label gform-field-label' for='input_30_22'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_22' id='input_30_22' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_30_23\" class=\"gfield gfield--type-phone gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_23\" ><label class='gfield_label gform-field-label' for='input_30_23'>Primary Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_30_23' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_30_24\" class=\"gfield gfield--type-phone gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_24\" ><label class='gfield_label gform-field-label' for='input_30_24'>Cell Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_24' id='input_30_24' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_30_25\" class=\"gfield gfield--type-phone gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_25\" ><label class='gfield_label gform-field-label' for='input_30_25'>Work Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_25' id='input_30_25' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_30_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_26\" ><legend class='gfield_label gform-field-label' >Billing Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_30_26'>\n\t\t\t<div class='gchoice gchoice_30_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Standard (subject to $300 deposit)'  id='choice_30_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_30_26_0' id='label_30_26_0' class='gform-field-label gform-field-label--type-inline'>Standard (subject to $300 deposit)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_30_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Pay As You Go (No deposit, $20 credit to begin)'  id='choice_30_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_30_26_1' id='label_30_26_1' class='gform-field-label gform-field-label--type-inline'>Pay As You Go (No deposit, $20 credit to begin)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_30_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_30\" ><legend class='gfield_label gform-field-label' >Renting?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_30_30'>\n\t\t\t<div class='gchoice gchoice_30_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Yes'  id='choice_30_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_30_30_0' id='label_30_30_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_30_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='No'  id='choice_30_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_30_30_1' id='label_30_30_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_30_29\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_29\" ><label class='gfield_label gform-field-label' for='input_30_29'>Property Owner<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_30_29' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_30_31\" class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_31\" ><label class='gfield_label gform-field-label' for='input_30_31'>Property Owner Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_31' id='input_30_31' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_30_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_32\" ><legend class='gfield_label gform-field-label' >Would you like to enroll in Operation Round Up to have your bill be rounded up for charity?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_30_32'>\n\t\t\t<div class='gchoice gchoice_30_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Yes'  id='choice_30_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_30_32_0' id='label_30_32_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_30_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='No'  id='choice_30_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_30_32_1' id='label_30_32_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_30_33\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_33\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Applicant Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_30_33'><span style=\"font-size: 120%;\"><br \/>\n<b>Terms of Application - Residential<\/b><br \/>\nAs consideration for acceptance of this application by Tri-County Electric Cooperative (TCEC), hereinafter \u201cCooperative,\u201d<br \/>\nApplicant promises and covenants as follows:<br \/>\n<ul><li>Applicant agrees to comply with and be bound by the Articles of Incorporation, Bylaws and Rules and Regulations of the Cooperative.<\/li><br \/>\n<li>Applicant agrees to pay any security deposit, service initiation fee, service connection deposit or fee, facilities extension deposit and\/or contribution in aid of construction required by Cooperative.<\/li><br \/>\n<li>Applicant agrees to pay any outstanding account for prior service plus accrued interest prior to being connected.<\/li><br \/>\n<li>Applicant warrants that all facilities at locations where service is provided are in compliance with the requirements of the National Electrical Safety Code. Applicant agrees that Cooperative may discontinue service if a violation of the National Electrical Code is discovered. Once discontinued, service will not be resumed until any and all violations are corrected.<\/li><br \/>\n<li>Applicant acknowledges the bill is due upon receipt and a 1.5% late fee will be added when account becomes delinquent.<\/li><br \/>\n<li>Applicant agrees that the Cooperative may cease to provide service if Applicant fails to make timely payment for services.<\/li><br \/>\n<li>Applicant agrees, upon request of Cooperative, to grant Cooperative such easements and rights-of-ways on, over, across, and under lands owned by or leased by or to, or mortgaged to Applicant as are needed for the furnishing of electrical service or for the construction, operation, and\/or maintenance of TCEC\u2019s electric facilities upon fair and equitable terms as determined under state and federal law.<\/li><br \/>\n<li>Applicant hereby agrees that up to $5.00 of the amount paid for electricity each year is for a subscription to Oklahoma Living magazine, a monthly publication for the members of Oklahoma\u2019s Rural Electric Cooperatives. This charge is to apply to the membership account only.<\/li><br \/>\n<li>Applicant agrees the cooperative may contact them via cellular phone or text message regarding power disruptions, notification of disconnections for non-payment, or for other informational or educational purposes. Message and data rates from Applicant\u2019s cellular phone provider may apply.<\/li><\/ul><br \/>\n<br \/>\n<b>Pay As you Go Agreement<\/b><br \/>\n<ul><li> Applicant agrees a credit of $20.00 shall be required to begin Pay As You Go service.<\/li><br \/>\n<li>Agrees a minimum $20.00 credit balance is required to reconnect service if disconnected due to zero balance.<\/li><br \/>\n<li>Authorizes Cooperative to transfer any outstanding balance on the Member\u2019s account to the Debt Management. 25% of all payments will go towards the Debt Management balance, until paid in full.<\/li><br \/>\n<li>Acknowledges payments can be made by SmartHub, telephone (IVR), payment kiosk, or from 8:00am to 5:00pm at the TCEC office.<\/li><br \/>\n<li>Acknowledges that Member must remain on the Pay As You Go service until the Debt Management balance is paid in full ($0.00 balance) and further acknowledges that a credit check shall be required and he\/she\/it will be required to pay all applicable fees and security deposits before returning to regular monthly billing.<\/li><br \/>\n<li>Acknowledges that Member will not be mailed a monthly statement of electric use or other applicable fees or charges.<\/li><br \/>\n<li>Acknowledges that service is subject to disconnection on weekends, holidays, or after normal business hours and further acknowledges the Weather Rule does not apply to this service.<\/li><br \/>\n<li>Acknowledges that Member shall be solely responsible for regularly monitoring the dollar balance and usage on the Pay As You Go account and understands that the electric service will be subject to disconnection without any notification from Cooperative to Member once the balance of the account reaches zero ($0.00).<\/li><br \/>\n<li>Acknowledges that Member Pay As You Go account(s) shall not be eligible for payment arrangements and any energy assistance will not be applied to a Pay As you Go account until received by the Cooperative.<\/li><br \/>\n<li>Applicant agrees to receive alerts (via text and\/or email) and web presentment regarding Pay As You Go account(s).<\/li><\/ul><br \/>\nView the TCEC bylaws, tariffs and rules and regulations on our website.<br \/>\n<br \/>\n<b>Please read carefully:<\/b> I have read and agree to the application terms, the cooperative's bylaws, tariffs and the rules and regulations of service. TCEC is a member-owned utility and acceptance of this application request, I the applicant(s), will become a TCEC member.<\/span><\/div><div class='ginput_container ginput_container_consent'><input name='input_33.1' id='input_30_33_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_30_33\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_30_33_1' >I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today\u2019s date and authorized by me and this electronic signature shall act and serve as my original signature.<\/label><input type='hidden' name='input_33.2' value='I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today\u2019s date and authorized by me and this electronic signature shall act and serve as my original signature.' class='gform_hidden' \/><input type='hidden' name='input_33.3' value='47' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_30_34\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_34\" ><label class='gfield_label gform-field-label' for='input_30_34'>Applicant Electronic Signature (Full Name)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_30_34' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_30_35\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_35\" ><label class='gfield_label gform-field-label' for='input_30_35'>Joint Applicant Electronic Signature (Full Name)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_30_35' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_30_36\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_30_36\" ><label class='gfield_label gform-field-label' for='input_30_36'>Email<\/label><div class='gfield_description' id='gfield_description_30_36'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_36' id='input_30_36' type='text' value='' autocomplete='new-password'\/><\/div><\/div><\/div><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_30' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_30\"]){return false;}  if( !jQuery(\"#gform_30\")[0].checkValidity || jQuery(\"#gform_30\")[0].checkValidity()){window[\"gf_submitting_30\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_30\"]){return false;} if( !jQuery(\"#gform_30\")[0].checkValidity || jQuery(\"#gform_30\")[0].checkValidity()){window[\"gf_submitting_30\"]=true;}  jQuery(\"#gform_30\").trigger(\"submit\",[true]); 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