Organization Service Agreement Form

Organization Service Agreement Form
The undersigned member or applicant for membership (herein called Applicant) hereby requests electric service at the above service location and agrees to be responsible for all billings accurately rendered for goods and services received. In addition, if not already a member of Jackson County Rural Electric Membership Corporation (hereinafter called Cooperative,) the Applicant hereby applies for membership, the terms and conditions of which are applicable to all service locations.

Applicant agrees:

  1. To comply with and be bound by the Articles of Incorporation of the Cooperative, the Bylaws of the Cooperative and any amendments thereto, and such Rules and Regulations and policies as may be adopted from time to time by the Cooperative,
    which are incorporated into this agreement by reference.
  2. That all electric service obtained from the Cooperative will be paid in accordance with approved rates and any line extension contracts in effect.
  3. To make payment of a refundable membership fee, in accordance with the Bylaws of the Cooperative, which shall be non-interest bearing and which shall be refunded as a credit against outstanding service billings upon termination of membership; and to make payment of such other fees and deposits incidental to providing electric service as are stipulated in the Rules and Regulations, Policies and approved Tariffs of the Cooperative.
  4. It is expressly understood that amounts paid for electric service in excess of the costs of service are furnished by the member as capital and the member shall be credited with capital so furnished as provided in the Bylaws.
  5. 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 law a member’s private property cannot be attached for any such debts or liabilities.
  6. An annual subscription for the Cooperative monthly newsletter shall be deducted from funds accruing in favor of the member so as to reduce such funds in the same manner as would any other expense of the Cooperative.
  7. Provisions of this agreement shall continue in force until Applicant no longer receives electric service from the Cooperative.
  8. In the event of default in payment, reasonable collection agency fees shall be added to the amount due on the account, plus any reasonable attorney fees and applicable court costs.
  9. Applicant authorizes the Cooperative to contact them by automated phone call, text message, or email for the purpose of notifying me regarding outage information, a past due bill, pending service disconnection and/or other important information. I understand that this authorization can be revoked by any reasonable means at any time.


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Jackson County REMC
274 E Base Rd
Brownstown, IN 47220


This institution is an equal opportunity provider and employer. 

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