Apply For Service [Sand-Box]

Applicant Name*
First Last
Are you already an active Member with SVEC?*
Is the applicant or co-applicant the owner of the property in SVEC Service Area?
Are you the property owner?*
Is the applicant or co-applicant the owner of the property in SVEC Service Area?
Are you building a new facility?*
Are you building a new facility or placing a new modular home.
Will there be a eligible Co-Applicant’s for membership:*
Co-Applicant must be a spouse, joint property owner or reside with the applicant.
- No Co-Applicant
- Spouse
- Joint Property Owner
- Resides with Applicant
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Applicant Information
Applicant Email*
Will be primary email address for account.
Enter Email Confirm Email
Username
Name
First Last
Applicant Mailing Address
Current mailing address for the applicant.

Street Address Address Line 2 City State ZIP Code
Primary Telephone Number*
Primary Phone is my*
Secondary Telephone Number
Secondary Phone is my*
Upload Picture of Photo ID ( License, State Id , Etc)
Upload Picture of Photo ID ( License, State Id , Etc) of applicant
Drop files here or

Accepted file types: jpg, gif, png, Max. file size: 100 MB, Max. files: 1.
Image
Accepted file types: jpg, gif, png, Max. file size: 100 MB.

Co-Applicant Information
Co-Applicant Name
First Last
Co-Applicant Email
Used to email contract to Co-applicant.
Enter Email Confirm Email
Upload Picture of Photo ID ( Liscense, State Id , Etc)
Upload Picture of Photo ID ( Liscense, State Id , Etc) of co-applicant
Drop files here or

Max. file size: 100 MB, Max. files: 2.

Type of Facility?
Home, Mobile-Home, Pump, Barn, Etc.
Facility (911) Address
This is the address

Same as Billing Address

Street Address Address Line 2 City State ZIP Code
Please provide proof of ownership.
Example deed, tax record , etc {64 mb limit}
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB, Max. files: 3.
Property Owner's Name
First Last
Property Owner's Address
Street Address Address Line 2 City State ZIP Code
Property Owner's Email

Billing Method
Billing Method*
Please choose a billing method.
- My-Choice Prepay Account
- Standard Account

Refundable Membership Fee	$5.00
Non-refundable Connect Fee	$35.00
Deposit Required for My-Choice	$25.00
Intial Credit Balance	$25.00
Amount Needed to Open Account	$90.00
**** Learn More About My-Choice
***** Learn More about Security Deposits

Refundable Membership Fee	$0.00
Non-refundable Connect Fee	$35.00
Deposit Required for My-Choice	$25.00
Intial Credit Balance	$25.00
Amount Needed to Open Account	$85.00
**** Learn More About My-Choice
***** Learn More about Security Deposits

Refundable Membership Fee	$5.00
Non-refundable Connect Fee	$35.00
Deposit Required	$250.00
Amount Needed to Open Account	$290.00
**** Learn More About Standard Billing
***** Learn More about Security Deposits

Active Member	$0.00
Non-refundable Connect Fee	$35.00
Deposit Required	$500.00
Amount Needed to Open Account	$535.00
**** Learn More About Standard Billing
***** Learn More about Security Deposits

Active Member	$0.00
Non-refundable Connect Fee	$35.00
Deposit Required	$250.00
Amount Needed to Open Account	$285.00
**** Learn More About Standard Billing
***** Learn More about Security Deposits

Refundable Membership Fee	$5.00
Non-refundable Connect Fee	$35.00
Deposit Required	$500.00
Amount Needed to Open Account	$540.00
**** Learn More About Standard Billing
***** Learn More about Security Deposits

Applicant Information