SC0046i (02/21/2019) (FS)

NEW RESIDENTIAL ACCOUNTAccounts require a deposit based on two highest consecutive billing periods at your new service location, but no less than $100. Your deposit will be refunded to your account after 13 months of timely payments or once your account is closed, whichever occurs first. An acceptable credit check may be considered in lieu of the deposit.

First Name Last Name Email Address:

Mondays - Fridays (Except Holidays) YesNo

YesNo

Street Address Apt/Unit/Lot #

StateCity Zip Code

OwnRent

YesNo

Landlord Name:

Camper - RVMobile HomeCondominium/Apartment/TownhouseSingle Family Not for Residence

YesNo

Pool Pump Garage/Shop Other:

Yes No Range Heating Source Water Heater

NoYes Electric Gas

Street Address Apt/Unit/Lot #

City State Zip Code

I understand there will be a $20.00 connection fee billed to me when service is connected.

If same day service is requested, a $45.00 service charge will be applied to the bill.

Date:

State:Yes No

Within City Limits?Subdivision Apartment Complex:

New Service Address:

Is this newly constructed?

Home Total Electric:Tankless Water

Heater:

Social Security #:

Customer Signature:

Drivers License #:Can we run a Credit Check?

ACCOUNT ID:SA ID:

Service Time Frame: One (1) working day if only a meter is needed, up to Ten (10) working days if installation of overhead service is needed or up to fourteen (14) working days if installation of underground service is needed.

The main breaker should be in the off position before the meter is set.

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

2. All mobile homes that have been moved onto a lot (Berkeley, Georgetown and Horry Counties)3. All new owners of mobile homes (Berkeley and Georgetown Counties)

1. All new constructionProof of building inspection is required for: All meter hubs need to be properly marked (e.g., unit number, lot

number, street number, etc.). Santee Cooper is not responsible for marking meter bases. Meters will not be set in the meter bases that are known to be incorrectly marked or not marked at all.

Name on Account:

Service Start Date:

Property Ownership:

Mailing Address:

--Landlord Telephone

Telephone: Home Phone- -

Work Phone- - - -

Type of Residence:

If Yes:

--

Would you like to receive e-mails on our programs and services?

Are you a current or previous Santee Cooper customer?

NOT for a residence, please specify:

What is NOT electric?

Account Holder and Service Location Information

Billing Location (if different than Service Location)

Terms and Conditions

Country

Cell Phone

Please select your Santee Cooper Retail Office for mailing information: