• Current Applicant Information
  • Additional Information
  • Cooperative Requirements
  • Sign and Submit
  • Complete
Indicates required field

All sections and pages of this agreement must be completed before staking appointment can be set.

This is an agreement between MiEnergy Cooperative (hereinafter called the "Cooperative" and the "Applicant," an individual, partnership, corporation (check one). The Applicant attests to be the owner of the service location OR has the authority to make this application and execute all the necessary documents.

APPLICANT'S MAILING ADDRESS

911 ADDRESS OF NEW SERVICE