Alert Message
October is National Co-op Month!

Some of the benefits of being an owner-member of Fall River Electric Cooperative include:
- Receiving financial returns in the form of Patronage Capital.
- Lowered costs for energy since your Co-op operates as a nonprofit.
- Ownership/control since you are an actual owner of the Co-op.

MEMBERSHIP UPDATE REQUEST AND AGREEMENT

MEMBERSHIP UPDATE REQUEST AND AGREEMENT

Date

Member Number or Account Number

Will you be adding or removing a name?

Adding

Removing

If removing, who’s name will be removed?

Applicant Name (First, Middle Initial, Last)

Co-Applicant Name (First, Middle Initial, Last)

Applicant Signature

Sign above

Co-Applicant Signature

Sign above

Applicant Date of Birth (Mo/Day/Yr)

Co-Applicant Date of Birth (Mo/Day/Yr)

Applicant Email Address

Co-Applicant Email Address

Applicant Telephone Number

Co-Applicant Telephone Number

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