Request for Joint Membership

An individual who requests a joint membership with Golden Valley Electric Association (GVEA) may do so by having both parties complete this form. Upon acceptance by the Association, the membership shall be deemed a joint membership. A joint membership allows either party to conduct business on behalf of the membership. This form should only be completed if you are already a member with an active account.

(PIN must be between 4 to 6 numbers in length)

Applicant

Name(Required)
(For new members, if you don’t have a social security number or choose not to provide one here, please contact GVEA Member Services at (907) 452-1151 to proceed)
Date of Birth (mm/dd/yyyy)(Required)

Spouse/Co-applicant

Spouse or Co-applicant(Required)
Name(Required)
Date of Birth (mm/dd/yyyy)(Required)

I am consenting to receive information relating to my account(s) and/or other GVEA business via automated calls, texts or email on any number (or any future telephone numbers) which I may provide to GVEA. I understand that I am responsible for notifying GVEA of any changes to my personal contact information.

Service Address(Required)
Click the (+) to add another address.

Ownership

Are you the:(Required)
In process of purchasing?(Required)

Third Party Notification

You may designate a third party to receive a copy of any termination notice regarding disconnections initiated by GVEA. Some of the information this notice will contain includes the name and address of the member whose service is to be disconnected, the service address, the date of disconnection, and explanation of the reason for the proposed disconnection, and where appropriate, a statement of the amount of the delinquent bill. This designation does not entitle the party named to act on behalf of the member.

Third Party?(Required)
If anyone at this location is using a life support system, please contact our credit office at (907) 452-1151.
Our team will review this information and respond with any questions within 2-4 business days. If your request is urgent please contact one of our representatives at (907) 452-1151 during our normal business hours of Monday-Friday, 8:30AM – 4:30PM, except holidays.
This field is for validation purposes and should be left unchanged.