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Upgrade/Downgrade Service Agreement

Complete this form, read and sign, then submit the form by clicking the "Submit Form" button at bottom.

Fields with * are required fields.

Account Information
Please note that by providing your cell phone number, you are giving the cooperative permission to text you about important, account-related information (outages, balance due, etc.) and in emergency situations.
Service Location

If located in Dimmit, Kinney, LaSalle, Starr, Webb, or Zavala counties: A Certificate of Compliance must be on file before your application can be processed. You can obtain your Certificate by contacting the appropriate county planning department. If the location is in the city limits for any of the above counties, city permits may also be required.

Predominant Use of Electricity

For Residential, Complete this Section.
For Other Personal Residential Use, indicate use. Example: residential water well, personal shed, personal hunting cabin, gate, etc.

For Farm or Ranch Business, Complete this Section.

For Commercial or Industrial Use, Complete this Section.
Indicate type of Commercial Use. Example: office, pump jack, manufacturing plant, etc.

For Other Use, complete this section.
Indicate Other Use. For example church, school, cemetery, etc.

New Construction Information
Metering requirements vary based on type of service. You should provide a suitable and easily accessible location including: (1) sufficient and proper space for installation of meters and other apparatus of the Cooperative, (2) meter loop, (3) safety service switches when required and (4) an adequate anchor for service drops. We recommend you use a licensed electrician for the installation of the meter loop. Wiring specifications may be found here.

Construction Details
If primary meter, enter PME.
Please indicate if you want information on purchasing a meter loop from Medina EC? (200 amp only)
For your convenience, Medina EC sells 200 amp meter loops for $680-780* plus applicable taxes. If you would like more information about purchasing your meter loop from the cooperative, indicate here or discuss it with the line designer during the site visit to your location. *Pricing is determined by the size of meter pole and is subject to change without notice.
Service Voltage and Main Disconnect Size
Note:
120/208 3 Phase 4 Wire Wye - Service is limited to 100kVA transformer on the pole.
277/480 3 Phase 4 Wire Wye - Service is limited to three (3) 100kVA transformers on the pole.
Electrician Information
AUTHORITY.
Member represents and warrants that each representative of Member executing this Agreement is duly authorized to do so. By executing below, the natural person(s) who executes this Agreement on behalf of Member represents and warrants that he or she has the authority to bind said entity.

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Member Signature
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Date: (MM/DD/YYYY)

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Commercial / Corporate Signature Authority
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Name of Person Signing:
Commercial/Corporate Title:
Date: (MM/DD/YYYY)
If Commercial / Corporate signature is other than President, Vice President, Partner, or Owner, proof of signature authority may be required.



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Informacion sobre todos los programas y servicios que ofrece Medina Electric Cooperative estan disponibles en Español al llamarnos al 1-866-MEC-ELEC o visitando una de nuestaras oficinas.

 

Medina Electric Cooperative, Inc.
PO Box 370
Hondo, TX 78861
1-866-632-3532

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