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Application for Membership - Individual

Capital Electric Cooperative, Inc.
4111 State Street
PO Box 730
Bismarck, ND 58502-0730
Pay by phone: 1-877-853-5928
Phone: 701-223-1513
Fax: 701-223-1557

*Fields represented in bold text are required.

Member Information

Applicant Name:*

Applicant's Social Security Number:* (include all dashes)

Applicant's Date of Birth:* (mm/dd/yyyy)

Applicant's Nationality:Why Provide This?

Joint Applicant Name:

Joint Applicant's Social Security Number: (include dashes)

Joint Applicant's Date of Birth: (mm/dd/yyyy)

Joint Applicant Nationality:Why Provide This?

Member Contact Information

Mailing Address:*



Zip Code:*

Home Telephone Number:* (xxx-xxx-xxxx)

Wireless Number: (xxx-xxx-xxxx)

Work Number: (xxx-xxx-xxxx)

E-mail Address:*

Name of nearest living relative: Why Provide This?

Relative's phone number:

Service Information

Have you previously received service from Capital Electric?*

Yes No

Do you own or rent?*

Own Rent

If rent, please list the landlord and telephone number

If own, please indicate all heating types:

Gas Fuel Oil Propane Geothermal Heat Pump
Electric Boiler Floor Heat Unit Heater Air-to-Air Heat Pump
Plenum Heater Baseboard Electric Furnace
I would like to be contacted about how I can reduce my energy costs using electric heat.

Service Area Information

NOTICE: CEC requires one day notice prior to Date for service to begin. Services can only be switched during business hours, which are Monday through Friday, 8 a.m. - 5 p.m. with the exception of holidays.

Date for service to begin:* (mm/dd/yyyy)

Does electric service already exist at this location?

Yes No

Address for electric service:*



Zip Code:*

Legal Description of Service (Subdivision, Block & Lot):*

Other Information:

Membership Terms and Conditions

  1. The Applicant will pay to the Cooperative the sum of $5.00 per service which, if the application is accepted by the Cooperative, will constitute the Service Connect Fee for each service. This fee is non-refundable.
  2. The Applicant will, when energy becomes available, purchase from the Cooperative all such services used on the premises and will pay therefore monthly at rates to be determined from time to time in accordance with the by-laws of the Cooperative; provided, however, that the Cooperative may limit the amount of electric energy to be furnished for industrial uses. The Applicant will pay for all services in accordance with and subject to policies, rules and regulations of the Cooperative, established by the Board of Directors from time to time.
  3. The Applicant will cause his/her service entrance and premises to be wired in accordance with wiring specifications approved by the Cooperative, national, state, and/or city electrical codes, and is responsible for individual safety precautions in and around all electrical lines.
  4. The Applicant will comply with, and be bound by, the provisions of the Articles of Incorporation and the by-laws of the Cooperative and all amendments and additions thereto and such policies, rules and regulations as may, from time to time, be adopted by the Cooperative.
  5. The Applicant, by paying a Service Connect Fee and becoming a member, assumes no personal liability or responsibility for any debts or liabilities of the Cooperative, and it is expressly understood that under the law his or her private property is exempt from execution for any such debts or liabilities.
  6. The Applicant further agrees that when the lines are built, as part consideration for the Cooperative's installation of the meter loop on the property described below, that such meter loop shall be deemed a part of the system and not a part of the Applicant's property. In such event, the Cooperative shall have the right to access the meter at all times and should the Applicant default in any of his/her obligations to the Cooperative, the Cooperative shall have the right to discontinue service without formal notice.
  7. The Applicant agrees to permit the Cooperative to place, construct, operate, maintain, relocate, and replace thereon and in or upon all streets, roads, or highways abutting said lands an electric transmission or distribution line or system, the ownership of which shall be vested in the Cooperative, and to cut and trim trees and shrubbery to the extent necessary to keep them clear of said electric line or system and to cut down from time to time all weak, leaning or dangerous trees that are tall enough to strike the wires in falling. The Applicant agrees that employees of the Cooperative shall have the right of ingress and egress on said premises up to the location of the meter installation as long as any property of the Cooperative remains on said premises.
  8. The Applicant also agrees to accept these terms and conditions for any additional service(s) applied for under this one (1) membership.
  9. The Applicant understands that the electric service may be disconnected if any information furnished to the cooperative is found to be fraudulent.
  10. CEC will not provide a meter socket for any service terminating on a house or building. CEC will provide secondary conductors to the point of metering. All residential meter sockets for new construction must be located outside, on the house or building sidewall. Meter sockets shall be located on the side of the house or building (including side or back of attached garage) nearest CEC’s service point (i.e. transformer; secondary pedestal or stub out) unless that location is not practical as determined in the sole discretion of CEC. In such cases, the meter facility shall be located as directed by CEC. The side wall of the house or building (including side or back of attached garage) is construed to mean the outermost side, which is not considered the front or back of the house or building. All residential meter sockets for service upgrades shall also be subject to the above criteria if CEC is to provide a new service line as part of the upgrade.
  11. The applicant will be enrolled in Operation Round Up, a voluntary charitable program that rounds their electric bill up to the nearest dollar each month. Charitable contributions received through Operation Round Up are distributed via application for educational, scientific, health or safety purposes. Those in need appreciate your commitment. To opt out of this program, please e-mail the request to or call us at (701) 223-1513.
  12. The applicant understands that Capital Electric may utilize an automated phone system to notify our members of existing or planned outages, delinquent balances, impending disconnects or re-connects, prepaid billing notifications and other information. By disclosing a mobile, landline or other phone number, the applicant agrees that Capital Electric or its agents or contractors can call the applicant on that number using a pre-recorded telephone dialer and/or that Capital Electric or its agents or contractors can leave a pre-recorded and/or text message on that number.
  13. STATEMENT OF NONDISCRIMINATION- Capital Electric Cooperative is an equal opportunity provider and employer. If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complain Form, found online at, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested on the form. Send your completed complaint form or letter to us by mail at USDA, Director, Office of Adjudication, 1400 Independence Avenue, SW, Washington, DC 20250-9410, by fax at (202) 690-7442 or by email at
The undersigned (hereinafter called the "Applicant") hereby applies for membership and agrees to purchase electric energy from Capital Electric Cooperative, Inc. (hereinafter called the "Cooperative"), and agree upon the terms and conditions listed above.
The applicant acknowledges receipt of the By-laws and Statement of Non-discrimination from Capital Electric Cooperative, Inc.

A security deposit of $200.00 will be required of all service applicants residing in rental properties and mobile homes. Additionally, members having poor payment history or uncollectible accounts with CEC may be asked for a higher security deposit. The deposit must be paid in full or electric service will be subject to disconnect.  The deposit will be returned to the applicant after 12 months of continuous good credit with the cooperative.  

I am interested in prepaid billing instead of paying a deposit. In place of a deposit, members may elect to prepay their electricity. Similar to putting gas in your car, you can purchase small amounts every few days or "fill up" the tank and not worry about it for several weeks. Get started with just $25.00 and customize a payment schedule that works best for you. Click here to learn more about and/or to sign up for the prepaid program.

All applicants residing in rental properties and mobile homes must contact Capital Electric within one business day at 701-223-1513 to pay the deposit or to sign up for prepaid billing.

Want to make your life easier? Sign up for Pay By Bank and Online Billing today!

Date:* (mm/dd/yyyy)

Applicant Signature* (By typing your name below, you agree that your typed name is your binding electronic signature.)

Joint Applicant Signature (type name)

4111 State Street North || Bismarck, ND|| Toll-free: 888-223-1513 || Local: 701-223-1513 || Email Capital Electric
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