To apply for membership, please fill out the following form. After receipt of this application a formal letter will be provided by SERC to secure additional information required.

Name:
Title:
E-mail address:
Telephone:
Fax:
Company:
NERC Registry ID:
Category:		No Selection Cooperative Customer Federal/State IOU Marketer Merchant Electricity Generators Municipal N/A Other RTO/ISO
Address:
City:
State:
Zipcode:
Last Year's Peak Demand:		MW
Generation Owned (Unit Name, MW):
Transmission Owned (Network):		69kV:  Miles 100kV:  Miles 115kV:  Miles 138kV:  Miles 161kV:  Miles 230kV:  Miles 345kV:  Miles 500kV:  Miles
Interconnected with the following systems (System, kV):