A social security number AND state issued id or passport are required to complete this online application.

If you are lacking either, please visit one of our offices to apply in person. Click here to find the office nearest you.

Once submitted, this application will be transmitted to a member service representative for review. You will be contacted by phone to complete the application process and to notify you of any deposits or fees associated with connecting this service.

Applications received on weekends, holidays, or after business hours will be reviewed on the following business day.

Note: All fields with the asterisk (*) are required.

(en español)

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Primary Account Owner:
First Name:		   *
Last Name:   *
Social Security Number:--  *
State ID#:  *
ID State:  
Birth Date:  *  

Please enter the mailing address: (Enter Street address, city, and state in designated fields)
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

*Service Address – required if “Check here if same as mailing address” is not checked
Service Address:   *
Comments:  
E-mail:  *
Confirm E-mail:  *
Home Phone:--   *
Cell Phone:--  
Work Phone:--   
Authorized User:
Name:		 
Social Security Number:-- 
State ID#:  
ID State:  
Birth Date:    
Relationship:  

Online Access
As one of our services, we offer an online system for paying bills and managing your account. Please create a password and a password hint to access your account online. Note passwords must be at least 8 characters in length and have a combination of numeric and alphanumeric characters.
Password:  *
Confirm Internet Password:  
Password Hint:

Have you ever had electric service with Blue Ridge Electric Cooperative in your name?    
Account Number:

Fee and Deposit Information
A membership fee and a connect fee is required from all applicants. A deposit is required on every account unless you pass our credit check or have already established an excellent payment history with Blue Ridge Electric Cooperative. If you choose to bypass the credit check, have an unsatisfactory payment history with Blue Ridge Electric Cooperative, or if you fail to pass the credit check, a deposit will be required up front. Once your account is officially created in our system, you will receive an email with information on your new account, including deposit amount or a member services representative will contact you concerning your deposit (if applicable).

(en español)

Membership Fee:  
Connect Fee:  

Is there a meter at this location?  *
Is this a residence?  *
Is there an outdoor light at the location?  *
If yes, would you like to keep the light on?  
Do you rent or own?>*Please note: if renting a copy of the lease agreement is required to be uploaded below   *
Please select your preferred billing method:   *
 
The undersigned (hereinafter called the "Applicant") hereby applies for membership in, and agrees to purchase electric energy from Blue Ridge Electric Cooperative, Inc. (hereinafter called the "Cooperative"), upon the following terms and conditions.  Checking this box confirms that I have read and understand the Bylaws of Blue Ridge Electric Cooperative. By submitting this application, Applicant also agrees to a credit check.

1. The Applicant will pay to the Cooperative the sum of $5.00 which, if this application is accepted by the Cooperative, will constitute as the Applicant's membership fee.

2. The Applicant will, when electric energy becomes available, purchase from the Cooperative all electric energy used on the premises described below and will pay therefore monthly at rates to be determined from time to time in accordance with the by-laws Cooperative. The applicant will pay a minimum bill each month regardless of the number of kilowatt hours consumed.

3. The Applicant will comply with and be bound by the provisions of the charter and by-laws of the Cooperative, and such rules and regulations and rates, as may from time to time be adopted by the Board of Directors of the Cooperative.

4. The Applicant, by paying a membership 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 private property is exempt from execution for any such debts or liabilities.

5. The Applicant grants the Cooperative the right of way to serve the premises. This right of way allows the Cooperative to construct, operate and maintain an electric or distribution line or system, 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 dead, weak, leaning, or dangerous trees that are tall enough to strike the wires in falling.

The acceptance of this application by the Cooperative shall constitute an agreement between the Applicant and the Cooperative, and the contract for electric service shall continue in force from one year from the date service is made available by the Cooperative to the Applicant.

(en español)
I understand that checking this box and typing my name in the field provided below is my electronic signature. I also understand that I am required to provide a copy of my ID, as well as the Authorized User's ID (if applicable).  If renting, I understand that a copy of my lease agreement is also required.
  Applicant Name     *