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.

Please call our office for same day or next day service.  Dalton, Fort Oglethorpe, and Calhoun offices: phone hours are 7:30 pm to 5:30 pm Monday through Friday and drive thru is open from 7:30 am – 5:00 pm.  Trion Office: is 8:00 AM to 5:00 PM Monday through Friday.  Our lobbies are not open at this time.

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:   *
Primary Account Holder Information:
First Name:
  *
Last Name:   *
Middle Initial:   *
Social Security Number:-  -   *
Valid Driver's License Number:  *
Issuing State of Driver's License:
*A valid driver’s license or state ID card will be required for identity purposes prior to connection of service.
  *
Date of Birth:  *  
Employer:  

Mailing Address:

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

Address of Service Location:

Service Address:   *
Service Type (Construction Required or Existing Service):   *
City, State, Zip Code and County of Service Location:
*Please supply directions if new location with no box number
  *
E-mail:  *
Confirm E-mail:  *
Home Phone:-  -   
Cell Phone:-  -    *
Employer Phone:-  -     
Co Applicant Information:
Name: (if applicable)
 
Social Security Number:-  -   
Valid Driver's License Number:  
Issuing State of Driver's License:  
Date of Birth:    
Employer:  
Employer Phone:  
Cell Phone:  
Home Phone:  
Email Address:  

Online Access:
Set up your on-line password now for easy access to your account at www.ngemc.com or phone app “myngemc account”.

Internet Password:  
Confirm Internet Password:  
Password Hint:

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

    
Account Number:

Membership Fee:  
Service Connection Fee:  

Would you like this to be a Prepay Account?  
Is there a second meter at the location that needs to be connected?
(yes or no)
 *
If yes, please provide any additional information.  
Is there an existing outdoor light at the location you would like to keep? *Additional monthly fees will be associated with this option.
(yes or no)
 *
Are you interested in signing up for EMC Security?
(yes or no)
 *
Are you interested in heat pump loans?  
Do you own or rent this location?
*Proof of rental will be required prior to connection of service.
  *
ORU Thanks to the generosity of NGEMC members like you, Operation Round Up has given more than $2.5 million dollars to schools, non profit agencies, and emergency relief efforts in the NW Georgia community. Please consider rounding up your bill to the next dollar amount. 100% of the funds go directly to your community.
Would you like to participate in ORU?
  *
Go paperless. Please select your preferred billing method:   *
                                                                 Terms and Conditions Printable Version
 
Check here that you have read and agree to the terms and conditions noted 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  

Check here to acknowledge this business transaction is pursuant to the Uniform Electronic Transactions Act, O.C.G.A. 10-12-1, et.seq, which provides that an electronic signature is valid. 
  Electronic Signature (Applicant Name):     *