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New Construction Electric Service
NODAK ELECTRIC COOPERATIVE, INC.
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CONTRACTOR APPLICATION FOR MEMBERSHIP AND ELECTRIC SERVICE-NEW CONSTRUCTION
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Date Submitted:
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Please fill out the form below to begin your application process. A Nodak Electric, Inc. member service representative will be in contact you to finish up the application process. If you need assistance please call 1-800-732-4373 or 1-701-746-4461.
Please indicate Nodak engineering representative you are working with on this project: (Select below)
*
Steve Breidenbach
Alex Spitsberg
Casey Hansen
Chad Neppel
Cole Johnson
Duddy Weisser
CONTACT INFORMATION
PLEASE NOTE: CONTRACTOR SUBMITTING THIS APPLICATION IS ASSUMING ELECTRIC BILLING RESPONSIBLITY FOR THE SERVICE INDICATED. Required fields are marked *.
Business Name
*
Federal Tax ID #
*
Business Contact
*
Phone #
*
Billing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
BUILDING SITE INFORMATION
Address
*
House Number
Street Name
City
State / Province / Region
ZIP / Postal Code
Township
Range
Section
County
*
Subdivision
Block
Lot #
SERVICE INFORMATION
Service Description
Apartment
House
Farm
Bins
Shop
Tile Pump
Irrigation
Seasonal Cabin
Mobile Home
Other
Service Size (amps)
Voltage
Single Phase 120/240
Single Phase 240/480
Three Phase 120/208
Three Phase 277/480
Additional Service Information
Permanent Service
Electric Vehicle
Temporary Service
When will the project be ready for power?
MM slash DD slash YYYY
Additional Comments
TERMS AND CONDITIONS
Consent
*
Applicant hereby applies for membership and agrees to purchase electric energy from Nodak Electric Cooperative, Inc., upon the following terms and conditions:
1. Applicant will pay monthly rates in accordance with the bylaws of the Cooperative.
2. Applicant will comply with and be bound by the provisions of the articles of incorporation and bylaws of the Cooperative, and such rules and regulations as may from time to time be adopted by the Cooperative. A copy of Nodak’s articles of incorporation and bylaws are available upon request or at www.nodakelectric.com.
3. Applicant will pay the Cooperative a nonrefundable, non-transferable processing fee for each main meter location.
4. Any cosigner for the Applicant agrees to absolutely guaranty payment to Cooperative of any indebtedness owing should the Applicant default in the performance of any of the terms of his/her membership. Such guaranty by the cosigner is given in consideration of Cooperative’s extending credit to the Applicant under the terms of membership and any minimum commitment contracts entered into by the Applicant with the Cooperative.
5. The Applicant will grant to the Cooperative at its request the necessary easements to serve and supply electric power to the Applicant and other Cooperative members. The Applicant grants to the Cooperative the right of access to the Applicants property for purposes of service, installation and repair of electrical facilities. The acceptance of the application by the Cooperative shall constitute an agreement between the Applicant and the Cooperative, and the contract for electric service shall continue in force.
6. Monthly invoice may include off-peak electric heating and/or outdoor rental lighting charges.
By submitting application I claim the information provided is correct, that I am the applicant, and have read and fully understand the above stated Terms and Conditions.
I agree to the privacy policy.
Signature
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INTERNAL USE ONLY
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Account:
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Service Description:
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Start, Move or Stop Service
SmartHub
Outages
Contact
My Co-op
About
Leadership
Electric Rates
Billing Policies
Meet Your Nodak Neighbors
Employment Opportunities
Capital Credits
Unclaimed Capital Credits
Legal Information
My Account
SmartHub Overview And Signup
Start, Move or Stop Service
Sign up for Autopay
Payment Options
Understanding My Bill
Account Information Update
Programs
RDFC Grant
Off-Peak Electric Heat
Rebates
Operation Round Up®
Youth Tour
Electric Vehicle (EV) Charging Program
Infinity Renewable Energy Program
Energy Information
Load Management Status
Power Interruption Checklist
Energy-Saving Tips
The Value of Electricity
News
News And Events
Press Releases
Nodak Neighbor
Annual Reports