EmailThis field is for validation purposes and should be left unchanged.Welcome to Mille Lacs Energy Cooperative (MLEC)! We’re dedicated to serving our customers with: Integrity Safety Quality Engagement Collaboration Member Information The undersigned (hereinafter called “Applicant”) hereby applies for membership in and agrees to purchase and take delivery of electric energy from Mille Lacs Energy Cooperative (hereinafter called the “Cooperative”), under the terms and conditions stated on the back. With the provided social security number, MLEC has the right to check the applicant’s credit and verify identity.MLEC requires a $365 deposit from all members. The deposit may be waived by conducting a soft credit check. If you would like this done, call our office at (218) 927-2191.(Required) I Understand Date (mm/dd/yyyy)(Required) Month Day Year Applicant's Name(Required) First Last Applicant's Signature (Full Name)(Required)Co-Applicant's Name First Last Co-Applicant's Signature (Full Name)Mailing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Service Address (if not the same as above) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Parcel IDCountyContact InformationPrimary Phone(Required)Click all that apply:(Required) Applicant Co-Applicant Home Cell Secondary PhoneClick all that apply: Applicant Co-Applicant Home Cell Email(Required) Electric Service For:(Required) Home Cabin Business Other Service Size(Required)AmpPlease choose one of the following for your meter loop wiring: (see letter for costs)(Required) Coordinated by Cooperative Self Wired Wired by (Enter name of electrician below) Name of electrician/ Company The Applicant will, when electric energy becomes available, purchase and take delivery from the Cooperative all electric energy purchased for use on the premises described on the front of this application and will pay therefore in accordance with the appropriate rate schedule as determined from time to time by the Cooperative; provided, however, that the Cooperative may limit the amount of electric energy to be furnished for industrial use until proper contracts and system changes can be made to accommodate any Member’s special needs. The Applicant will cause his/her premises to be wired in accordance with wiring specifications as required by the State Board of Electricity and the Cooperative. It is the Applicant’s responsibility to maintain their electric service in such a manner that the meter remains accessible to the Cooperative at all times. Should accessibility to the meter become restricted, the Applicant shall be responsible for all expenses associated with relocating the metering. The Applicant will comply with and be bound by the provisions of the Articles of Incorporation and Bylaws of the Cooperative, and any rules, regulations, and policies as may from time to time be adopted by the Board, and specifically acknowledges the authority of the Cooperative to inspect, repair, upgrade and maintain the electric distribution system, which includes keeping the right-of-way clear of all buildings, structures, trees, undergrowth and other obstructions that may interfere with or endanger the Cooperative’s facilities and equipment. The Applicant agrees to furnish at no cost to the Cooperative any reasonably requested easement over, above, across, or under the surface of the land owned or leased by the Member, not only for the purpose of extending service to the Member but also for the purpose of extending service to others or otherwise constructing needed facilities. The Applicant, by becoming a Member, assumes no personal liability or responsibility for any debts or liabilities of the Cooperative, and it is expressly understood that under the law the Applicant’s private property is exempt from execution for any such debts or liabilities. If the Applicant becomes indebted to the cooperative and the Cooperative incurs costs in collection of the debt, the Applicant agrees to be financially liable and responsible for all costs of collection in addition to the debt. To avoid the expense of preparing checks when refunds of electric account credit balances and/or the refund of capital credits is less than $25, the Cooperative will transfer the balance to another active account belonging to the member or if the member has no other account, balances less than $25 will be transferred to Donated Capital or Unclaimed Property Continuity of Service: The Cooperative will use reasonable diligence to provide and maintain uninterrupted service to its members. In cases of cessation, deficiency, variation in voltage, or any other failure or reversal of the service resulting from acts of God, public enemies, vandalism, accidents, strikes, riots, wars, repairs, orders of court, or other acts reasonably beyond the control of the Cooperative, the Cooperative shall not be liable for damages, direct or consequential, resulting from such interruption or failure. When construction of new electric service is required, the acceptance of this application by the Cooperative shall constitute agreement between the Applicant and the Cooperative, and the contract for electric service shall continue in force for a minimum of two years from the date service is made available by the Cooperative to the Applicant, and thereafter until cancelled by at least 30 days written notice given by either party to the other. The Cooperative may, however, terminate electric service without notice if the bylaws of the Cooperative or the rules, regulations or policies adopted by the Cooperative are violated by the Applicant. The Applicant shall pay the established minimum rate ($49 per month) during the term of this contract from the date the meter is energized or six months from the date service is made available, whichever comes first. Customer Consent(Required) 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’s date and authorized by me as if I had signed my signature.Applicant's Electronic Signature (Full Name)(Required)
