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SURRYYADKIN ELECTRIC MEMBERSHIP CORPORATION APPLICATION FOR RESIDENTIAL SERVICE Full Name Please Print SSN Last First Middle Maiden Mailing Address Physical Address Date of Birth Home Phone (Driver's
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Individuals living in the Surry-Yadkin area who require electricity services in their homes or businesses.
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Individuals who value community involvement and local control over their electricity service.
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Those who want to support the local economy by choosing an electric cooperative that reinvests in the community.
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Consumers who seek personalized customer service and a closer relationship with their energy provider.
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