Albemarle EMC serves parts of five counties in North Carolina; Camden, Chowan, Currituck, Pasquotank, and Perquimans.  If you need to verify that Albemarle EMC is the electric provider for your location, please call our office at 252-426-5735, before completing the application.


To be considered for electric service from, and for membership with, Albemarle Electric Membership Corporation, all applicable information must be completed.  A copy of each applicant’s driver’s license is also required for residential applications.  License copies can be emailed to info@aemc.coop or faxed to 252-426-8270.  Applications will not be processed until all information has been received.

If you have had an active account with Albemarle EMC within the past 12 months, completing a new application is not required.  Please call our office at 252-426-5735 or 800-215-9915 and speak with a Member Service Representative.

If you have any questions about applying for new service, please contact our office at 252-426-5735 or 800-215-9915 during normal business hours, Monday through Friday*, 8 a.m. to 4:30 p.m. (*Excluding some holidays).

NOTE: If in doubt whether to make this a single or a joint account, only the Applicant and/or the Co-Applicant has the right to receive account information, request services, make changes, or designate Third Parties to this account. If you chose to make this a Single Account but would like to give permission for us to provide information (such as due dates, bill amounts, etc.) to your spouse or someone else, please complete a Third Party Form. Please email or fax the completed form to info@aemc.coop or 252-426-8270. 

If you need a commercial application, please click here.  Please print and complete the application.  Completed applications can be emailed to info@aemc.coop or faxed to 252-426-8270. 

All fields with the asterisk (*) are required.

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Applicant Information:
First Name:		   *
Last Name:   *
Middle Initial:  
Social Security #:--  *
Driver's License #:  *
License State:  
Date of Birth:
(MM/DD/YYYY format)		    
Ethnicity:  
Suffix:  
Service Type:
(indicate Existing or New Construction)		  *

Mailing Address:
Please enter the address where bills should be sent:
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Address you are requesting us to serve:
Service Address:   *
If applicable, directions to new construction:  
E-mail:  *
Confirm E-mail:  *
Home Phone:--   *
Cell Phone:--   *
Business Phone:--   
Co Applicant Information:
Name:		 
Social Security #:-- 
Driver's License #:  
License State:  
Date of Birth:
(MM/DD/YYYY format)		    
Ethinticity:
(indicate Caucasian, African American, Other, Asian or Hispanic/Latino)		  
Electronic Signature: I understand that typing my name in the field provided is my electronic signature. *Required if Co Applicant  

Online Access:
We offer a portal and mobile app for ebill, online bill payment and account management. If you would like to access your account online, please create a password and password hint below. For security purposes, a minimum password length of 10 characters and a combination of uppercase letters, lowercase letters, numbers, and symbols (!@#$%^&*) is required.
Internet Password:  
Confirm Internet Password:  
Password Hint:

Fee and Deposit Information:
A $50 connect or transfer fee is required.  In addition to the connection fee there may be a security deposit.  Your security deposit will be determined by a credit check.  The security deposit for residential accounts using the standard billing method is up to $450.00 or two-months’ estimated bill.  Fees must be paid prior to service activation.  A summary of helpful information can be found here.

Wish to lower your deposit? Click here for more information on AMEC FlexPay!

Connect Fee:  

Would you like this to be a FlexPay Account?
(indicate yes or no)		  *

Please select your preferred billing method:
*FlexPay Accounts will not receive a monthly bill		  
 
By checking this box and providing my electronic signature as the Applicant or Co-Applicant, I hereby apply for electric service to be provided by the Cooperative and authorize the Cooperative to perform a credit check to determine the deposit. No credit check is necessary for AEMC FlexPay members. Furthermore, I agree to pay a connect fee, a security deposit as needed, and be bound by all provisions in the Cooperative’s Bylaws, and Service Rules and Regulations, along with all applicable laws, rules, regulations, statutes, Flexpay Member Agreement and ordinances as they may now exist and as they may be modified from time to time. Copies of these and our rate schedules are available online at https://www.aemc.coop or you may request one to be emailed to you. Email us at info@aemc.coop.

By providing my cell number to Albemarle EMC, I am giving my consent for them to contact me with important information relevant to the cooperative or my account. If my phone number changes, I will make every attempt to notify Albemarle EMC as soon as possible.

*Residential: Only those named as Applicant and Co-Applicant will be a member and eligible to make requests.
I understand that checking this box and typing my name in the field provided below is my electronic signature.
  Residential applicants - Don’t forget to email or fax copies of each applicant’s driver’s license to info@aemc.coop or 252-426-8270.
Signature of Applicant:     *