Start New Service
To apply for electric service with North Georgia EMC, please complete and submit the following application.  Submission of this form provides permission for NGEMC to review and verify identity as required by the *FTC under the FACT Act.

Do not complete this form if your request for service is within 2 business daysPlease call our office for same day or next day service.  Office hours are 7:30 AM to 5:30 PM Monday through Friday for Dalton, Fort Oglethorpe, and Calhoun.  Trion is open from 8:00 AM to 5:00 PM Monday through Friday.

Dalton (706) 259-9441, Ft. Oglethorpe (706) 866-2231, Calhoun (706) 629-3160, Trion (706) 734-7341

Note: All fields with asterisk (*) are required.


Today's Date:  
Date Service is Desired:  *  
Type of Request:  *
First Name:   *
Last Name:   *
Middle Initial:   *
Social Security #:-  -   *
Driver's License #:  *
State:  *
Expiration Date:  *
Date of Birth:  *
Employer:  *
Is there an Outdoor Light at this location? (yes or no)  *
If yes, do you want to keep the Outdoor Light? (yes or no) Note: There are installation fees and monthly charges associated with this request.  

Mailing Address:

Street Address/P.O. Box:  *
City:  *
State: *
Zip Code:   *

Service Address:

Service Address:   *
Service Type (Construction Required or Existing Service):  *
Please provide us with the City and County of the Service Address as well as directions to the location:  
E-mail:  *
Confirm E-mail:  *
Home Phone:-  -    *
Cell Phone:-  -   
Daytime Phone:-  -     
Spouse or Co Member Name: 
Spouse or Co Member SSN:-  -   
Spouse or Co Member Employer:  
Spouse or Co Member Work Phone:  
Emergency Contact: relative not living at this address  
Relationship of Emergency Contact to applicant:  
Emergency Contact phone number:  

Online Access:
As a service to our members, we provide online access for viewing and paying bills. If you would like to use this service, you can specify an Internet Password and Password Hint at this time.

Internet Password:  
Confirm Internet Password:  
Password Hint:

Existing Service:
Have you ever had service with North Georgia EMC?

    
Account Number:

Fee & Deposit Information:
Please note our regular hours Service Connection fee is shown below. In addition to the Membership fee and applicable Service Connection fee, a security deposit may also be required. As per North Georgia EMC's Service Rules and Regulations, deposits are determined by the type of service requested, the reputation of the premises, consumer's credit worthiness, and the level of risk to the cooperative. Deposits are not ordinarily more than two months estimated service of that particular location. *Customers will be charged a $3.00 fee for identification verification required by the Federal Government.


Membership Fee:  
Service Connection Fee:  

Additional Contact Person:  
Phone Number:  
Property Owner's Name:  *
Phone Number:  
Do you Rent or Own this Property?  *
Would you like to participate in Operation Round Up?  *
Please select your preferred Billing Method:  *
                                                                 Terms and Conditions Printable Version
 
Check here that you have read and agree to the terms and conditions above. 

By submitting this request, I, the above named individual (hereinafter called applicant) hereby apply for membership in and agree to purchase electric energy from North Georgia Electric Membership Corporation (hereinafter called Cooperative). 

The applicant agrees to abide by all Bylaws and Service Rules and Regulations of the Cooperative.  A one time Membeship fee applies. 

*Refers to the Federal Trade Commission Administration Fee