Line Retirement Agreement

"*" indicates required fields

I request Wiregrass Electric Cooperative, Inc. (WEC) retire a section of distribution line near: Map Location*

This line has not been in service for approximately: Amount of Years*

Account Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Cell Phone*

WEC Account #**

Email*

Member Electronic Signature (Full Name)*

Security Check

Office and Mailing Address