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E-Bill Authorization

     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

Check this box to digitally sign the form and agree to the above terms.

Personal Information
Account Name:  
WEC Account Number:  
Phone Number: 
Email: 
Address Information:
Address: City:
State:   Zip:  

You may submit this form electronically or print it and mail to:
Wiregrass Electric Cooperative
P.O. Box 158, Hartford, AL 36344