Account Holder Information

Federal ID No. - Social Security No. - -
() -
() -
() -
(If different than account holder)
() -


Yes No
Yes No
Service Location (Monday - Friday, except holidays)
Yes No
Residential Commercial
New Construction ($35.00+) Clean-up, Realtors, etc. ($20.00+)
+Indicates service charge to be included in your first bill
Yes No
Billing Information Yes No

Service Agreement

* I hereby apply to Santee Cooper for electrical service in accordance with the "Terms and Conditions" and applicable rate schedules. Copies may be obtained at retail offices or online at www.santeecooper.com.