Membership Application 

Welcome to Big Sandy RECC! 

Please complete and submit this application to sign up for electric service.

If you have any questions feel free to contact us online or call our office at (606) 789-4095 during normal business hours, Monday through Friday 7:30 am - 4:00 pm.

 

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


Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
First Name:   *
Last Name:   *
SS#:-  -   *
Driver's License#:  *
County:  *

Please enter the address where bills should be sent:
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Please enter the street address where service is required:
Service Address:  
Service Type (Construction Required or Existing Service):   *
If applicable, directions to new construction:  
E-mail:  *
Confirm E-mail:  *
Home Phone:-  -    *
Cell Phone:-  -   
Work Phone:-  -     *
Spouse's Name: 
Spouse's SSN:-  -   

Online Access
We offer a variety of online services that our members may use through our website.  As one of our services, we provide an online application for viewing and paying bills.  Please specify an Internet Password and Password Hint at this time. 

Internet Password:  
Confirm Internet Password:  
Password Hint:

Existing Service
Have you ever had service with us before?
    
Account Number:
Fee & Deposit Information
A membership fee of $25.00 is due with the membership application if you are not an existing member.  In addition to the membership fee, a deposit may also be required.  The deposit amount is determined based on a credit check.  When your account is created, you will receive an email with the total amount due on your new account, including the deposit amount, if applicable.

Membership Fee:  

 

I hereby apply for membership in Big Sandy Rural Electric Cooperative Corporation and in consideration of the acceptance of this application agree to the following terms.  I certify that the above has made application for membership, and pending formal approval by the Board of Directors, is entitled to the rights and responsibilities contained in the Cooperative's charter and bylaws, as amended.  By submitting this application request, I  also agree to a credit check to determine if a deposit is required.