New Connect (Sandbox)

Applicant Information

Applicant Name*

First Last

Applicant Email*

Will be primary email address for account.

Enter Email Confirm Email

Are you already an active Member with SVEC?*

Is the applicant or co-applicant the owner of the property in SVEC Service Area?

Physical (911) Address

This is the address

Street Address Address Line 2 City State ZIP Code

Untitled

Billing/Mailing Address

Same as 911 Address Above

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

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

Co-Applicant’s eligibility for membership:*

No Co-Applicant

Spouse

Joint Property Owner

Resides with Applicant

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.

Service Information

Are You :

Renting

Buying a new home

Building a New Home or Modular Home

Type of Facility?

Home, Mobile-Home, Pump, Barn, Etc.

Service Location Address

Same as 911 Address Above

Service Location

Street Address Address Line 2 City State ZIP Code

Are you building a new facility?*

Are you building a new facility or placing a new modular home.

Property Owner's Information

Provide, full name and phone number of Property Owner.

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.

Are you the property owner?*

Is the applicant or co-applicant the owner of the property in SVEC Service Area?

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	$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

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

{all_fields}

SSN

Name

This field is for validation purposes and should be left unchanged.

Sign-Up for Residential Service - Sand-Box

Applicant Information

Co-Applicant Information

Service Information

Billing Method

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