Billing Options Sign-Up

Sign up for E-Bill, Levelized Billing, or Automatic Bank Draft. Or sign up for all three with Triple Play, with the option for Automatic Bank Draft or Credit Card Autopay.
Are you applying for:*
- E-Bill
- Levelized Billing

Go paperless!

Wiregrass Electric Cooperative is pleased and excited to offer you “Triple Play” -- the best step in billing convenience. By signing up today, you can save postage, save paper, and save time.
- E-BILL -- Starting with your next statement, you will receive your energy bill electronically via e-mail. This e-bill will look exactly like your current paper bill. You can either print a copy or just make a note of the amount for your records.
- LEVELIZED BILL -- Take the surprises out of your electric bill. Even though the amount of energy you use changes with the seasons, your bill will change very little from month to month. Your monthly bill will be the average of your past 12 months’ power bills. Although your bill may fluctuate some each month, there is no ‘true up’ at the end of the year. (Must have good credit history and have been a member of Wiregrass Electric Cooperative for at least 12 months. Account must be paid in full on time each month to remain enrolled in the program.)
- BANK DRAFT or CREDIT CARD AUTOPAY -- You won’t have to worry about late payments again. Your account is automatically debited on the date it is due. (Your bank account or credit card information is necessary to enroll in this program.)
Member Information
Member Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone
Cell Phone*
Email*
Account Number*
Location Number

Agreements & Signature
Member Consent*
I hereby verify the above information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.
E-Bill Authorization Agreement

As a member of Wiregrass Electric Cooperative, Inc., I hereby authorize Wiregrass Electric Cooperative to discontinue sending paper bills and begin e-billing each month for the billing of my electric account. This will remain in effect until I notify Wiregrass Electric Cooperative to discontinue.
Member Consent*
I hereby verify the above information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.
Bank Draft Authorization Agreement

As a member of Wiregrass Electric Cooperative, Inc. (WEC), I hereby authorize WEC to draw a monthly draft on my bank account for the payment of my electric account. This will remain in effect until I notify WEC to discontinue service.
Member Consent*
I hereby verify the above information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.
Levelized Billing Terms & Agreements

Wiregrass Electric Cooperative, Inc. (hereinafter called the Cooperative) and the undersigned, a member of the
Cooperative (hereinafter called the Member), hereby mutually agree as follows:
- The member must be in good standing with the cooperative; or, if member has been on the cut-off list or
  had a returned check in the previous 12 months, member can sign up for levelized billing if the following criteria are met:
- The program will determine your total-due payment amount by averaging the most recent 12 months actual electric usage. Based on this method, the total-due amount may vary slightly from month to month.
- The member agrees pay the total levelized bill amount each month. The Levelized Program does not allow the member to pay in advance or carry a credit or past-due balance.
- The account will remain on the program as long as each month’s total-due payment is paid. If the member does not meet the above requirements, they will be removed from the Levelized Program.
- In the event that the member is removed from the Levelized Program, the member will be required to pay the bill amount in full.
- In the event that the member is removed from the levelized program, either by the Cooperative or by member request, the member will not be eligible to participate in the levelized program for one year.
- Term of agreement will continue until the Cooperative is notified in writing by the member to discontinue their participation in the Levelized Program.
Member Consent*
I hereby verify the above information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.
E-Bill Authorization Agreement

As a member of Wiregrass Electric Cooperative, Inc., I hereby authorize Wiregrass Electric Cooperative to discontinue sending paper bills and begin e-billing each month for the billing of my electric account. This will remain in effect until I notify Wiregrass Electric Cooperative to discontinue.

Bank Draft Authorization Agreement

As a member of Wiregrass Electric Cooperative, Inc. (WEC), I hereby authorize WEC to draw a monthly draft on my bank account for the payment of my electric account. This will remain in effect until I notify WEC to discontinue service.

Levelized Billing Terms & Agreements

Wiregrass Electric Cooperative, Inc. (hereinafter called the Cooperative) and the undersigned, a member of the
Cooperative (hereinafter called the Member), hereby mutually agree as follows:
- The member must be in good standing with the cooperative; or, if member has been on the cut-off list or
  had a returned check in the previous 12 months, member can sign up for levelized billing if the following criteria are met:
- The program will determine your total-due payment amount by averaging the most recent 12 months actual electric usage. Based on this method, the total-due amount may vary slightly from month to month.
- The member agrees pay the total levelized bill amount each month. The Levelized Program does not allow the member to pay in advance or carry a credit or past-due balance.
- The account will remain on the program as long as each month’s total-due payment is paid. If the member does not meet the above requirements, they will be removed from the Levelized Program.
- In the event that the member is removed from the Levelized Program, the member will be required to pay the bill amount in full.
- In the event that the member is removed from the levelized program, either by the Cooperative or by member request, the member will not be eligible to participate in the levelized program for one year.
- Term of agreement will continue until the Cooperative is notified in writing by the member to discontinue their participation in the Levelized Program.
Member Consent*
I hereby verify the above information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.
E-Bill Authorization Agreement

As a member of Wiregrass Electric Cooperative, Inc., I hereby authorize Wiregrass Electric Cooperative to discontinue sending paper bills and begin e-billing each month for the billing of my electric account. This will remain in effect until I notify Wiregrass Electric Cooperative to discontinue.

Levelized Billing Terms & Agreements

Wiregrass Electric Cooperative, Inc. (hereinafter called the Cooperative) and the undersigned, a member of the
Cooperative (hereinafter called the Member), hereby mutually agree as follows:
- The member must be in good standing with the cooperative; or, if member has been on the cut-off list or
  had a returned check in the previous 12 months, member can sign up for levelized billing if the following criteria are met:
- The program will determine your total-due payment amount by averaging the most recent 12 months actual electric usage. Based on this method, the total-due amount may vary slightly from month to month.
- The member agrees pay the total levelized bill amount each month. The Levelized Program does not allow the member to pay in advance or carry a credit or past-due balance.
- The account will remain on the program as long as each month’s total-due payment is paid. If the member does not meet the above requirements, they will be removed from the Levelized Program.
- In the event that the member is removed from the Levelized Program, the member will be required to pay the bill amount in full.
- In the event that the member is removed from the levelized program, either by the Cooperative or by member request, the member will not be eligible to participate in the levelized program for one year.
- Term of agreement will continue until the Cooperative is notified in writing by the member to discontinue their participation in the Levelized Program.
Member Electronic Signature (Full Name)*

Billing Options Sign-Up

Go paperless!

Member Information

Bank Information

Credit Card Information

Agreements & Signature

Go paperless!

Member Information

Bank Information

Credit Card Information

Agreements & Signature

E-Bill Authorization Agreement

Bank Draft Authorization Agreement

Levelized Billing Terms & Agreements

E-Bill Authorization Agreement

Bank Draft Authorization Agreement

Levelized Billing Terms & Agreements

E-Bill Authorization Agreement

Levelized Billing Terms & Agreements