Glades Electric Cooperative Service Application

Service Application

Welcome to Glades Electric Cooperative. To request new electric service, please complete the fields below. After you submit your request, a Member Services Representative will review your information and contact you regarding any other information needed. Service applications are reviewed during regular business hours, Monday – Thursday 7 a.m. – 6 p.m.

Receive up to $25 in one-time bill credits, when you sign up for: Paperless Billing ($10), Autopay ($10), and $5 extra when you sign up for both!

Glades Electric Cooperative Service Application

Do you currently or have you ever had an account with Glades Electric Cooperative?*
Type of Service Connection*
New Service Permit
If a new electric service permit is required by your county, please upload a copy of the permit. If your file size exceeds 5 MB please email it to memberservices@gladeselectric.com. Applications for new construction will not be processed without a required permit.
Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 7 MB.
Preferred Service Connection Date*
(Service requires at least one business day for connection once the application is completed, but may take longer.)
MM slash DD slash YYYY
Type of Membership*
Name*
(For a business, list the name of the person responsible for the account.)
First Last
Name of Additional Person for Joint Membership*
First Last
Business Name*
Date of Birth for Primary Member*
Date of Birth for Joint Member*
Hidden
Social Security Number*
(Type numbers only; no dashes.)
Hidden
Social Security Number or Employer I.D. Number (EIN)*
(Enter numbers only; no dashes.)
Social Security Number for Primary Member*
(Enter numbers only; no dashes.)
Social Security Number for Joint Member*
(Enter numbers only; no dashes.)
Social Security Number or Employer I.D. Number (EIN)*
Please select the type of number entered above.*
- Social Security Number
- EIN (Employer ID Number)
The required deposit can be reduced or waived with favorable results of a credit check. This is a soft credit check that will not affect your credit score. Will you authorize GEC to obtain a credit report?*
Driver's License or Identification Number for Primary Member*
Driver's License or Identification Number for Joint Member*
Hidden
Meter Number or Location Number*
The meter number is found on the bottom of the face of the meter. A meter number is 8 digits long; a location number is 10 digits long.
Meter Number or Location Number*
Please type the number and ignore the arrows in the box. The meter number is found on the bottom of the face of the meter. A meter number is 8 digits; a location number is 10 digits.
Type of Service*
To review the Residential Household Affidavit click here.
Service Location Address*
Street Address Address Line 2 City ZIP Code
Mailing Address*
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone for Primary Member*
Please select the type of number entered above.*
- Home
- Cell
Phone for Joint Member*
Please select the type of number entered above.*
- Home
- Cell
Alternate Phone
Please select the type of number entered above.
- Home
- Cell
Email*
Proof of Right of Possession or Ownership
To connect service, we require documentation of proof of right of possession or ownership of the property where service will be connected. Please attach a lease or closing disclosure, deed, title, settlement statement, or the notarized Proof of Right of Possession form on our website. If your file size exceeds 5 MB, please email it to memberservices@gladeselectric.com.
Accepted file types: pdf, jpg, jpeg, png, Max. file size: 5 MB.
Would you prefer to receive your bill by email or mail?*
Sign up for paperless billing within 30 days of application to receive a one-time $10 bill credit per account. Go paperless to avoid a paper bill in the mail and keep your account information secure. Full pdf images of bills are always available on our SmartHub app. All paperless billing members are entered into a quarterly drawing for a $100 bill credit!
Autopay
Sign up for autopay within the first 30 days of membership to receive a one-time $10 bill credit per account. Sign up for paperless billing and autopay together to receive an additional one-time $5 bill credit per account, for a total of $25 in credit.
Would you prefer to receive your monthly membership magazine by mail or email?*
Would you like to participate in Operation Round Up?*
Members can have their monthly bill rounded up to the nearest dollar to participate in Operation Round Up. Donated funds assist members in need and local charitable organizations serving those facing hardships. For more information, visit https://www.gladeselectric.com/community/operation-round-up/
Have you previously spoken with a Glades Electric representative regarding this service?*
Please choose the name of the representative you spoke to regarding this service.*
Please include any additional questions or information regarding your account.
Please verify the following by checking the box.*
- I attest that the above information is correct and I have legal authority to establish an account in the name provided.
Please verify the following by checking the box.*
- I (hereinafter called the "Applicant") hereby apply for membership in and agree to purchase energy from Glades Electric Cooperative, Inc. (hereinafter called the "Cooperative") upon the following terms and conditions, as displayed by clicking on the link to review the Terms and Conditions of Membership. As stated in the Terms and Conditions, the Applicant consents that the Cooperative by its agent, servant, employee, or representative shall at all reasonable times have the right to ingress or egress to and from the premises described on the membership application for the purpose of reading, installation, removal or repair of any meter on said premises and for such other purposes as shall be necessary or incident to the operation and maintenance of the electric service herein applied for. I understand that GEC has the ability to remotely disconnect and connect meters at any time.
To review the Terms and Conditions of Membership click here.
Comments
This field is for validation purposes and should be left unchanged.

Operation Round Up is a charitable program that will automatically round your bill up to the next dollar. This voluntary program averages $6.00 a year and benefits our local members and community.
As a cooperative member, you will be allocated excess margins as capital credits. To designate a beneficiary for your capital credits, complete our Capital Credit Beneficiary Designation Form.
Terms & Conditions of Membership
Glades Electric Cooperative Bylaws
Residential Household Affidavit