Please complete the following information and submit the secure online form to Jones-Onslow Electric Membership Corporation.

Applicant's First Name Last Name

Social Security Number

Spouse's First Name Spouse's Last Name

Spouse's Social Security Number

Enter your mailing address and contact information below.

Street Address

Post Office Box Number Apartment Number

City State Abbreviation Zip Code

E-mail Address Daytime Phone

Please use the following comment box to enter additional requests.

A Consumer Representative from Jones-Onslow will contact you the following business day.
(Monday - Friday, 8:00am - 5:00pm with the exception of holidays.)

With submission of this information, the applicant: