JACKSON ELECTRIC COOPERATIVE, INC.

MEMBERSHIP APPLICATION AND AGREEMENT

 This represents a request for membership in Jackson Electric Cooperative, Inc. (hereinafter referred to as “Cooperative”) by the undersigned (hereinafter referred to as “Applicant”).  When approved by the Cooperative’s Board of Directors, this shall represent the membership agreement with the Cooperative.

A.

Applicant’s signature on this form shall constitute a written request for membership in the Cooperative.  Any person, firm, association, corporation, body politic or subdivision thereof is eligible for membership in the Cooperative.  However, no entity shall have more than one membership in the Cooperative.

B.

Applicant’s request for membership shall be accompanied by a membership fee that is in effect at the time of membership request.  Membership fee is subject to adjustment by the Cooperative’s Board of Directors from time to time, but Applicant will only pay membership fee in effect at time of request.  Membership fee is used to secure membership status in the Cooperative and purchases no stock nor accrues interest.  Membership fee is refundable upon termination of membership and compliance with Section E of this agreement.

C.

Acceptance of Applicant’s membership shall allow Member to purchase said service or services as shall be provided to Members of the Cooperative.  The Applicant, by paying a membership fee and becoming a Member, assumes no personal responsibility or liability for any debts or liabilities of the Cooperative and it is expressly understood that under the law his private property is exempt from execution for any such liability.  By executing an agreement for service, Applicant shall be bound by the Cooperative’s bylaws, policies, rules and tariffs approved by the Cooperative’s Board of Directors and/or the Public Utility Commission of Texas and any other governmental agency exercising jurisdiction over said service and as the above may be amended from time to time.

D.

Acceptance of Applicant’s membership shall allow Member all rights and privileges within the Cooperative and the conduct of Cooperative business.  The Cooperative shall use the address herein referenced or as may be updated by the Member for the purpose of providing legal notice from the Cooperative.

E.

Any Member may withdraw from membership upon payment in full of all debts and liability owed the Cooperative and upon compliance with such terms and conditions as the Board of Directors may prescribe.  A Member of the Cooperative may be expelled by an affirmative two-thirds (2/3rds) vote of a quorum of the membership.  Transfer of assignment of membership shall be by written request and approved by the Board of Directors of the Cooperative.

F.

Membership may be requested separately by husband or wife or can be maintained jointly by the couple.  A joint membership shall entitle a couple only one vote in the Cooperative affairs.  

It is the policy of this Cooperative that each Member connected to its system has a paid membership fee, connect fee and established credit with an executed Membership Application and Agreement and executed Service Agreement for Residential/General Service.  The membership fee and deposit are refundable upon discontinuing service and the payment of Member’s final electric bill.  The connect fee is not refundable.

APPLICANT                                                                COOPERATIVE

 

Date of Request: ___________________________     Approval Date: ____________________________

 

Member/Corporation: _______________________       Jackson Electric Cooperative, Inc.  

By: _____________________________________     By: ____________________________________

                                                                                      (Board Secretary or Designated Representative)

Address: _________________________________     P.O. Box 1189 , Edna , TX 77957-1189

Soc. Sec. No. : ____________________________      Texas D/L No. or Employee I/D #: _____________

Member Account No. Assigned: _______________