Residential Application for Service | Kandiyohi Power Cooperative

Date of Service Connect

Primary Member

First

Middle

Last

Your Email

Date of Birth

Phone Number

Phone Type

Home

Office

Cell

Other…

Phone Number

Phone Type

Home

Office

Cell

Other…

Additional Member

First

Middle

Last

Date of Birth

Phone Number

Phone Type

Home

Office

Cell

Other…

Billing Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Service Address (if different than above)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Are you the property owner or renter?

Owner

Renter

If you are renting, provide Landlord's name, address & phone number.

Property Description

Full-time residence

Part-time residence (second home, seasonal cabin, etc.)

Agricultural or Commercial

Other…

Membership Status

New Member

Current Member

Previous Member

To acquire electric service as a new member, you are required to provide your social security number and either:
1) pay a $300 security deposit
or
2) set the electric account up on automatic payment through your checking or savings account using the bank routing number and account number

I understand that my application is not considered complete until I contact Kandiyohi Power Cooperative to provide my social security number.

Do you have an electric vehicle?

Yes

Additional Comments

I/We agree

By checking the box, you are applying for and agree to become a member of KPC.

CAPTCHA

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