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1-800-682-2217 or 252-247-3107

Name:
First Name:
  		M.I.:
Last Name:
 
Permanent Address:
Street Address:
 
Address (cont.):
City:
 
State/District:
Zip/Postal Code:
 
Country:
Current Mailing Address:
Street Address:
 
Address (cont.):
City:
 
State/District:
Zip/Postal Code:
 
Country:
Business Phone:
Home Phone:
THIS FIELD IS REQUIRED. WE WILL ONLY USE THIS TO CONTACT AND DO BUSINESS WITH YOU.  WE WILL NOT RELEASE THIS INFORMATION TO ANYONE.
E-mail Address:
THIS FIELD IS REQUIRED. WE WILL ONLY USE THIS TO CONTACT AND DO BUSINESS WITH YOU.  WE WILL NOT RELEASE THIS INFORMATION TO ANYONE.
New Mailing Address:
Street Address:
 
Address (cont.):
City:
 
State/District:
Zip/Postal Code:
 
Country:
Business Phone:
Home Phone:
THIS FIELD IS REQUIRED. WE WILL ONLY USE THIS TO CONTACT AND DO BUSINESS WITH YOU.  WE WILL NOT RELEASE THIS INFORMATION TO ANYONE.
E-mail Address:
THIS FIELD IS REQUIRED. WE WILL ONLY USE THIS TO CONTACT AND DO BUSINESS WITH YOU.  WE WILL NOT RELEASE THIS INFORMATION TO ANYONE.
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Carteret-Craven Electric Cooperative * P.O. Box 1490 * Newport, NC 28570
Office Locations: 1300 Highway 24, Newport, NC; 450 McCotter Blvd., Havelock, NC & 849 Island Road, Harkers Island, NC
 252-247-3107 * 1-800-682-2217 * customerservice@ccemc.com