Miscellaneous Forms

"Owned By Those We Serve Since 1937"

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Miscellaneous Forms

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Average Payment Plan Application (Microsoft Word format)

Average Payment Plan Application (pdf format)

Average Payment Plan Cancellation Form

Bank Auto Draft Payment Agreement Form

Co-op Power Plus™ Visa® Auto Payment Agreement Form

Credit Card Draft Authorization (for non co-op cards)

Revocation of Automatic Bill Payment Plan Form

Credit History Inquiry Form

Electrical Load Survey

Membership Application and Privacy Policy

Life Support System Information Form

Right Of Way Easement Form (Print on Legal Paper)

Tax Exemption Certificate

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P.O. Box 490
357 North Washington Street
La Grange, Texas 78945
Telephone 979-968-3181 or 1-800-874-8290
Fax 979-968-6752
E-mail:

Business Hours: Monday thru Friday 8:00 am to 5:00 pm
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