Clark Energy Cooperative Commercial Membership Application

Please fill out all sections completely to apply for membership and electric service.

Applicant Information
Commercial Account Classification
Service Location Information

** Please note, if the service being requested is an existing service and has been inactive for twelve months, an electrical inspection will be required before new service can begin.

New Service
Describe the commercial service type (for power estimation):
Existing Service
Is there an outdoor light at this location?
Would you like to keep the outdoor light? Please be aware that additional charges apply to outdoor lighting.
Previous Service & Property Status
Have you ever had service with Clark Energy?
If you rent, you must provide the name and phone number of your landlord.
Account Preferences
Billing Preference
Do you wish to be enrolled in SmartHub? SmartHub is an online and mobile application that allows you to pay your bill, track your usage, and report outages.
Deposit and Credit Check Authorization

A deposit will be required before service can begin on the account. However, this deposit may be waived if a satisfactory credit rating is obtained through a soft credit check.

Do you authorize Clark Energy to perform a soft credit check to determine if the deposit can be waived?
Are you authorized to grant permission to Clark Energy to perform the credit check?
Agreement and Signature

Please review the following documents: 
Terms and Conditions Bylaws

Checking this box confirms the applicant has read and agrees to the terms and conditions and bylaws of Clark Energy Cooperative. 

I understand that checking this box and typing my name in the space provided below serves as my electronic signature. 

Sign above
Document Uploads

Please upload a clear photo of the front of the driver's license for both the applicant and co-applicant (if applicable).

One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png.