Please complete and sign the form, then you can either fax the form along with proof of identification to 662-234-0046 or you can scan and email the form and proof of identification to service@northeastpower.org.

To view the forms you will need Adobe Acrobat Reader.

You may type all your information in the following forms before printing.

• Service Application (pdf)
• Disconnection Request (pdf)

Available July 1, 2005

Copyright 2005 - 2006 North East Mississippi Electric Power Association
Design & Maintenance By:  Thurlow Designs & Consulting, LLC.