Springer Electric Cooperative, Inc.

May 9, 2008

| Application for Membership | Customer Satisfaction Survey |

APPLICATION FOR MEMBERSHIP AND ELECTRIC SERVICE

First Name:	Last Name:
Company:
Billing Address:
Site Address:
Town/Village:	State:	Zip:
Home Phone:	Work Phone:
SSN #:	E-Mail:

ALL fields are required except company name and e-mail. At least one phone number MUST be entered.

Please double check your entries for errors. When all information is correct, click the "Apply for Service" button. A form will be displayed on your screen. Please print the page and sign and date the form at the bottom. Then mail the completed form to: Springer Electric Cooperative, Inc., P.O. Box 698, Springer, New Mexico 87747. Or fax the agreement form with your letter of credit to (575) 483-2692.

"Owned By Those We Serve"

Springer Electric Cooperative, Inc
408 Maxwell Avenue
P.O. Box 698
Springer, New Mexico 87747
Telephone: 575-483-2421
Toll Free: 1-800-288-1353
Fax: 575-483-2692
Emergency: 575-445-3975