Citizens Electric - Residential Application Combined

Citizens Electric - Residential Application
Application must be completed in its entirety, and applicant must submit a copy of a valid government-issued photo identification card as proof of identity.
Name*

First NameMiddle InitialLast Name
Date service is needed

MonthDayYear
Date
Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Service Address*

Street Address

Street Address Line 2

CityState

Zip Code
Social Security Number*
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Home Phone
Work Phone
Cell Phone*
Employer*
Employer Address*

Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Co-Applicant /Spouse
Do you have a Co-Applicant / Spouse?*

YesNo
Spouse/Co-Applicant*

First NameMiddle InitialLast Name
Social Security Number*
SSN
Date of Birth*

MonthDayYear
Date
Email
example@example.com
Home Phone
Work Phone
Cell Phone*
Employer
Employer Name
Employer Address
Address

Terms of Membership
The signed applicant on the reverse side of this Application (hereinafter, the “Member”) hereby applies for electric service from Citizens Electric Corporation (hereinafter, the “Corporation”) , a corporation organized under the laws of the State of Missouri, upon the following terms and conditions.

1. Payment.

a. The Member will, when electric energy becomes available at the Member location, purchase from the Corporation all electric energy billed through the meter placed upon Member’s premises, and will pay therefor in accordance with the rate schedule and rules, regulations, and policies established by the Corporation.

b. The Member subscribes for one share of common stock issued by the Corporation with a par value of $5.00, to be a Shareholder in the Corporation and hereby agrees to pay the par value to the Corporation.

2. Shareholder Rights & Obligations.

a. It is agreed that the share hereby subscribed for shall not be transferred, alienated, or in any way disposed of until the Member discontinues electric service from the Corporation. It is further agreed that the Corporation reserves and shall have the exclusive right and option to purchase such share at a price equal to the par value.

b. It is further agreed that upon discontinuance of electric service from the Corporation, the share shall be automatically redeemed by the Corporation and the par value shall be applied to the Member’s account if any amount is owed or it shall be refunded to the Member.

c. As a shareholder of the Corporation and in accordance with its By-Laws and Missouri law, Member agrees and acknowledges that:

i. In order for a legally valid shareholder meeting to be held, more than 50% of the Corporation’s shareholders must be present in person or by proxy.

ii. Member is entitled to one vote upon each matter submitted to a vote at any meeting of the Corporation’s shareholders.

iii. Member may cast its vote in person at the meeting or by utilizing a Proxy Ballot.

iv. If shareholder fails to attend a meeting of shareholders in person or fails to return their completed Proxy Ballot prior to a meeting of shareholders, the shareholder constitutes and appoints the Official Proxy Committee of the Corporation, or their successors, selected and appointed from time to time by the Board of Directors of the Corporation, the shareholder's proxy and their true and lawful attorneys and agents, with full power of substitution for the shareholder and in shareholder's name, place and stead, to vote the shareholder's proxy for the election of directors, and upon all matters that may be considered at any Annual Meeting, Special Meeting, or any other meeting of the shareholders of the Corporation, or at any adjournment meeting of any such meetings, called for any purpose or purposes, at any time or place within the State of Missouri, and act in shareholder's stead at any and all such meetings or adjournments thereof, as mentioned above, as fully and with like effect as shareholder could, if shareholder was personally present.

v. The authority conferred by the Proxy granted herein may be exercised by the Official Proxy Committee, or any member or members thereof, as a majority of members of the Official Proxy Committee shall determine or agree. This Proxy shall be in full force and effect and shall remain a permanent, continuous Proxy until revoked according to law.

d. A residential purchaser of electrical power shall be limited to ownership of the one (1) share purchased whether or not that individual owns, rents as Lessor or as Lessee, or occupies more than one residence. A joint tenancy shall be considered as one (joint) shareholder. When a share is held by Joint Tenants, each tenant should sign. When signing as Attorney, Executor, Administrator, Trustee or Guardian, please give full title as such. If a corporation, the application must be signed by the President or other authorized officer. If a Partnership, Association or Agency, the application must be signed by the Authorized Member.

3. Compliance with Corporation’s By-Laws.

The Member will comply with and be bound by the provisions of the Corporation’s By-Laws and the rules, regulations, and policies of the Corporation now in effect and as may hereafter be amended from time to time.

4. Communication of Official Notices.

The Corporation communicates its official notices via a monthly eNewsletter, local newspapers, the Rural Missouri magazine, bill messages and inserts, its website at www.cecmo.com, and its Facebook page at https://www.facebook.com/citizenselectriccorp.

The acceptance of this Application by the Corporation shall constitute an agreement between the Member and the Corporation, its successors and assigns, and the contract for electric service from and membership as a Shareholder in the Corporation shall continue in force from the date service is made available by the Corporation to the Member and thereafter until canceled in accordance with the By-Laws, rules and regulations, and policies of the Corporation.

Citizens Electric is an equal opportunity provider and employer.

Rev. 09/21/2023
Date*

MonthDayYear
Date
Signature*

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Billing Selection
Citizens Electric gives the members the opportunity to pay for their services in two different methods. The member can pay for their services via monthly billing and the member will receive a monthly bill in the mail OR the member can Pre-pay for their electric.

Monthly Billing - Bills will be mailed out as usual but during sign up there are deposits required to setup an account. Deposits amounts are based on previous usage at respective addresses.

Pre-Paid Metering- With just $50 down you can pay as you go. Pay as much or as little as you need, maintaining a credit balance to keep the lights on! Notifications by text, email, or voice verification will keep you updated on usage and your account balance.
How would you like to pay your bill?*

Monthly BillingPre-Paid Metering
Name*

First NameMiddle InitialLast Name
Service Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Home Phone
Cell Phone*
I hereby voluntarily apply to participate in Prepaid Metering offered to members of Citizens Electric
Corporation (hereinafter called the “Corporation”), and unequivocally agree to the following terms and
conditions:*All notifications must be set up in SmartHub. To set up your notification platform, please visit www.cecmo.com/smarthub for instructions to download the SmartHub app and register your account. You will only receive email notifications if you do not setup SmartHub.
1. I agree to purchase electric service from the Corporation under its Optional Prepaid Metering Service rate classification and agree to be bound by its Conditions of Use and by the Corporation’s General Terms and Conditions as they are now in effect and as may hereafter be amended.
2. I agree to make an initial minimum prepayment of $50.00 to my Prepaid Metering account for future electricity use.
3. I understand that it is my responsibility to regularly monitor the balance on my account by utilizing email notifications or by downloading the SmartHub app for text notices. Failure to receive notice by email,phone or text message will not exempt my service from disconnection.
Initials - (paragraph 4)*

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4. Before my service will be reconnected, I will have to make a minimum payment of $25 to be used for future purchases of electricity. In addition, I must pay for any outstanding balance due, except for amounts included in a debt management plan. I understand that I can make real-time payments during normal business hours at the Corporation’s office, via the Internet, via phone, or at an authorized remote payment site. I understand that no reconnect fee will apply if reconnection is made within 30 days of disconnection.
5. To reconnect my service, I will need to push the black activation button on my meter or disconnect collar when the word “ARM” is visible. If I am unable to access my meter, I must give the Corporation express permission and authorization to reactivate my meter remotely.
6. I understand that I will not receive paper billing statements or disconnect notices. Information regarding my account is available via the Corporation’s website at www.cecmo.com or SmartHub. Any notice from the Corporation required hereunder shall be pursuant to the preferred method(s) of notification I indicated above. As such, I understand that it is my sole responsibility to notify the Corporation immediately of any changes to my contact information.
Initials - (paragraph 6)*

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7. I understand that should my balance reach zero ($0.00) or less, my service will be automatically
disconnected during normal business hours in accordance with the Missouri Public Service Commission’s
cold and hot weather rules. Upon disconnection I understand that if I, or a member of my household, rely
upon medical equipment powered by electric energy, I am completely responsible for procuring alternate
electric power or timely re-establishing service from the Corporation by adhering to the requirements for
same set forth herein and in all applicable policies of the Corporation.
Initials - (paragraph 7)*

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8. I understand that I will receive periodic alerts via my preferred method(s) of notification when my Prepaid Metering account reaches the amount specified within the SmartHub app.
9. I understand the Corporation will immediately debit returned checks and denied credit card payments, along with any associated charges, to my account. Should this cause my balance to be zero ($0.00) or less, my service will disconnect on the next business day. I understand I will be required to replace the check or credit card payment with cash, a cashier’s check, or money order Office Use Only Acct. Number Location No. CSR Initials
10. I understand that if I apply for energy assistance, my account will be credited when the Corporation receives verification of a pledge from the agency or charitable organization. If the pledge is cancelled for any reason, the amount of the pledge will be charged back to my account. If this causes my account balance to be zero ($0.00) or less, CEC will send me an alert and my service will be disconnected.
11. Any deposit I have previously paid to the Corporation will be applied to my outstanding balance (if any) at the commencement of participation in Prepaid Metering, and any credit remaining after application of the deposit shall be applied to my Prepaid Metering account balance.
12. I authorize the Corporation to transfer any outstanding balance to my Prepaid Metering account and agree that fifty percent (50%) of any payments made on my Prepaid Metering account in the future shall be applied to the outstanding balance until said balance is paid in full. Any fees/penalties (such as a returned check or meter tampering) shall be paid before any payments are applied to my Prepaid Metering account.
13. I understand the Corporation reserves the right to remove my account from Prepaid Metering at any time, without consent or notification. The Corporation reserves the right to modify or end this program at any time.
14. I understand that any tampering with the Corporation’s equipment will result in one or more of the following: immediate removal from Prepaid Metering, disconnection of service, payment of additional fees, and possible legal action.
15. I understand that if my Prepaid Metering account is discontinued or terminated, the Corporation may transfer any unpaid balance to any other like-account I may have with the Corporation or refer any unpaid balance to the Corporation’s third-party collection agency.
16. I, the undersigned, HEREBY RELEASES, DISCHARGES, COVENANTS NOT TO SUE, AND HOLDSHARMLESS, the Corporation, their respective agents, employees, assigns or representatives FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES CAUSED IN WHOLE OR IN PART BY myparticipation in Prepaid Metering.
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE SURRENDERED SUBSTANTIAL RIGHTS BY SIGNING IT. I HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE. I INTENDIT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
Date*

MonthDayYear
Date
Signature*

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Dusk To Dawn Outdoor Lighting Agreement
The undersigned member (hereinafter called the Applicant) hereby agrees to purchase dusk-to-dawn outdoor lighting service from Citizens Electric Corporation (hereinafter called the Corporation), and the Corporation agrees to furnish said service for the following purpose and upon the following terms and conditions:
Dusk-to-Dawn Lighting Street Lighting (municipalities, homeowner associations, etc.)
1. The Applicant requests the following dusk-to-dawn outdoor light fixture(s) be installed by the Corporation at a place to be agreed upon by the Applicant and Corporation:
2. It is understood and agreed by and between parties that service can or will be made available only on an existing pole and where the Corporation has secondary service available, with the following exceptions:
(a) The Corporation will extend its secondary conductor one span not to exceed 175 feet in length and install one wood pole including guy and anchor where needed for an additional one time charge of $300.00.
(b) The Corporation will install secondary conductor only (6/2 duplex) not to exceed one normal span to permit installation of an LED fixture when such installation is requested by the Applicant and when installation is considered practical by the District Superintendent. An additional one-time charge of $100.00 shall be paid by the Applicant.
(c) The Corporation will set a transformer (not to exceed 5 kVa capacity) to energize the LED fixture. The additional monthly charge for the transformer is set forth in rates approved by the Board of Directors.
3. The Corporation agrees to furnish the lamp fixture, electrical energy for the operation of lamp, and maintenance of the lamp fixture to render adequate service. Required maintenance will occur within a reasonable length of time after notification by the Applicant.
4. It is understood that title and ownership of all equipment shall remain in the Corporation and that no connection to, or extensions of, the circuit serving the unmetered lamp or lamps may be made by or on behalf of the Applicant.
5. The Applicant agrees to pay for this service at the Corporation’s current rate for Outdoor Lighting Service as approved by the Board of Directors from time to time. It is further agreed that the Corporation may remove the equipment installed pursuant to this Agreement for reason of excessive or malicious damage to the equipment or failure of the Applicant to pay for said service by due date.
6. If Applicant desires to increase the quantity of dusk-to-dawn outdoor light fixtures used for STREET LIGHT purposes only, Applicant shall request same in writing addressed to Citizens Electric Corporation, c/o Member Services Dept., 1500 Rand Avenue, Perryville, Missouri 63775.
7. This Agreement shall be binding upon both parties, their successors or assigns, for a period of twelve (12) months from the date of acceptance and shall continue thereafter until cancelled by either party.
Name*

First NameMiddle InitialLast Name
Service Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date*

MonthDayYear
Date
Signature*

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Citizens Electric - Residential Application

Co-Applicant /Spouse

Additional Information

Terms of Membership

Billing Selection

Dusk To Dawn Outdoor Lighting Agreement