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CONTACT INFORMATION
Parke County REMC
119 W. High St.
Rockville, IN 47872
(765) 569-3133
(800) 537-3913
119 W. HIGH ST., ROCKVILLE, IN 47872
(765) 569-3133
|
(800) 537-3913
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Prepaid Service
Please fill in the form below to apply for Prepaid Service.
First Name
Last Name
What is your cell phone carrier?
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T-Mobile
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Please select the type of alerts you would like to receive.
Email
Text
Voice
Email Address
Email Alerts
Account Profile Change
Returned Check Alert
Payment Confirmation
Service Disconnected
Service Reconnected
Low Balance
Daily Balance and Usage
High Daily Usage Alert
Pending Disconnect Alert
Text Phone Number
Text Alerts
Account Profile Change
Returned Check Alert
Payment Confirmation
Service Disconnected
Service Reconnected
Low Balance
Daily Balance and Usage
High Daily Usage Alert
Pending Disconnect Alert
Voice Phone Number
Voice Alerts
Account Profile Change
Returned Check Alert
Payment Confirmation
Service Disconnected
Service Reconnected
Low Balance
Daily Balance and Usage
High Daily Usage Alert
Pending Disconnect Alert
Alert me when my balance reaches:
Alert me when my usage is over:
I agree to the
terms of conditions
.
I understand it is my responsibility to maintain a credit balance to continue service. I have read and understand the terms and conditions for the Prepaid Service Agreement as listed below.
Conditions:
The minimum payment to start a PPM account is $25.00.
Electric service will be subject to immediate disconnection if at any time the account does not have a credit balance.
If service is disconnected for less than 3 days, credit must be re-established before service will be restored. Service is usually restored within one hour.
If your service is disconnected for more than 3 days, you must contact the office during normal business hours to have it reconnected. Service will not reconnect automatically. To reconnect service, any outstanding balance, a reconnect fee and at least $25.00 to reactivate the account must be paid. Service will not be restored until the next business day.
If a returned check or electronic chargeback is received on the account, the amount of the return and a return item fee will be charged back to the member’s account immediately. If this causes the credit on the account to be exhausted, service will be disconnected within 24 hours.
Prepay accounts are billed two days behind. The amount that is billed on any given day is for usage two days prior. For example, on a Monday, you are being billed for Saturday’s usage.
PPM accounts are not eligible for payment arrangements.
PPM accounts are not eligible for autopay or draft payments.
Medical conditions will not postpone disconnection.
Energy Assistance or other assistance will be applied when monies are received. Pledges will not postpone disconnection.
PPM accounts will not receive a paper bill.
If at any time, a Prepaid member wants to covert the account to a monthly bill, a deposit may be required that is equal to twice the highest bill at the service location.
Signature
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Date of Signature
Authorization
By checking this box I am authorizing, to the best of my knowledge, the information stated above on this credit application is true and correct.
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