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Application for Service and Membership

Please complete the below form to apply for service with Tombigbee Electric Power Association.  Please note, we DO NOT guarantee same day service request.  All fees MUST be paid prior to service being connected.

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Disclaimer: If sufficient payment is made and customer service has been notified after 2:00 p.m., there is no guarantee that service will be completed the same day of payment.

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Once your account has been created in our billing system, you will receive an email or phone call with instructions to create your online account HERE.  The deposit amount is based on a credit check.  Depending on the credit check, your deposit will be $60, $150, or $300.  There will also be a $10 Membership (owed with deposit) and $10 Connection Fee (to be billed with first bill).  A convenience fee of $3.65 for credit cards and $1.95 for EFT transactions will apply.

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Once sufficient payment has been made, you will need to contact customer service by email (customerservice@tepa1.com) or by calling one of our offices: 662-842-7635 (Tupelo) or 662-862-3146 (Fulton).

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If you would like to be a Prepay customer (EasyPay), you will need to come into one of our offices and sign up.  To learn more about being a Prepay customer, click HERE.

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If you have any questions regarding starting new service, please call 662-842-7635 (Tupelo) or 662-862-3146 (Fulton) and a customer service representative will assist you.

Today's Date:

Date Service is Desired:

Residential or Commercial:

Applicant Information:

First Name:

Middle Initial:

Last Name:

Have you had previous service with Tombigbee EPA?

Previous Account Number:

(If Known)

Birth Date:

Employer:

Upload Picture Proof of Social Security Number:

Options:
Social Security Card
W2
Check Stub (if SSN is visible)

Upload File

Picture Format Upload (Ex: .jpeg, .png)

Upload Picture Identification Proof:

Options:
Driver's License
State Issued ID

Upload File

Picture Format Upload (Ex: .jpeg, .png)

Service Information:

Own or Rent:

Please indicate if service is being requested for a House, Apartment, Mobile Home, or Other:

If Other, please specify:

If Renting, Provide Proof of One of the Following (Choose One Format Below):

Options:
Rent Receipt
Full Lease Agreement

Picture Format Upload (Ex: .jpeg, .png):

Upload File

Document Format Upload (Ex: .pdf, .doc):

Upload File

If Building, Please Provide Both Below:

Warranty Deed - Choose One Format Below:

Picture Format Upload (Ex: .jpeg, .png):

Upload File

Document Format Upload (Ex: .pdf, .doc):

Upload File

911 Address (Copy from Courthouse) - Choose One Format Below:

Picture Format Upload (Ex: .jpeg, .png):

Upload File

Document Format Upload (Ex: .pdf, .doc):

Upload File

If Purchasing/Owning a Home, Provide Proof of One of the Following (Choose One Format Below):

Warranty Deed - Choose One Format Below:

Picture Format Upload (Ex: .jpeg, .png):

Upload File

Document Format Upload (Ex: .pdf, .doc):

Upload File

Closing Disclosure - Choose One Format Below:

Picture Format Upload (Ex: .jpeg, .png):

Upload File

Document Format Upload (Ex: .pdf, .doc):

Upload File

If Purchasing a Mobile Home, Please Provide a Copy of the Registration Number (Choose One Format Below):

Picture Format Upload (Ex: .jpeg, .png):

Upload File

Document Format Upload (Ex: .pdf, .doc):

Upload File

If it's a Camper, Please Provide One of the Below (Choose One Format Below):

Options:
Tag Number
Registration Number

Picture Format Upload (Ex: .jpeg, .png):

Upload File

Document Format Upload (Ex: .pdf, .doc):

Upload File

If This is for Commercial/Business Use, Please Provide the Information Below:

Business Name:

EIN (Tax ID) Number:

Service Address:

City:

State:

Zip Code:

Mailing Address:

(If different than billing address)

City:

State:

Zip Code:

Additional Information:

Email Address:

Confirm Email Address:

Cell Phone:

(Input main contact phone number)

Home Phone:

Work Phone:

Co-Applicant/Spouse Information:

Co-Applicant Name:

Co-Applicant Phone Number:

Co-Applicant Employer:

Co-Applicant SSN Upload:

Upload File

Online Access:

As one of our services, we offer a Customer Portal for viewing and paying bills.  After you submit your online service application, your account will be created within our billing system.  After the account has been created, you will then receive an email or phone call with instructions to go to the Customer Portal so you can create your online account and pay your deposit, membership, and connection fee.

Interested in Tombigbee Fiber?

Tombigbee Fiber logo - horizontal color - Bringing Your Fiber to You.png

Would you like to sign up for high-speed fiber optic internet?  We offer this service to many areas within our service territory.  Click the link below and see if your service address is available.  If service is available, click the provided link and fill out the form.

(If deposit is above minimum amount, you will be emailed a report from Tombigbee provided by Online Utility Exchange that explains the reasoning of the determined deposit amount)

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