Pee Dee Electric Cooperative, Inc.
SURGE GUARD® PARTICIPATION AGREEMENT
I wish to participate in Pee Dee Electric’s SURGE GUARD Program. I understand the following:
Pee Dee Electric Cooperative will allow me to use surge protection at this service address:
Street_______________________________________ Pole # _____________________
City _____________________________________, SC Map # _____________________
ZIP ___________________ Meter # ____________________
Pee Dee Electric will provide and install the meter base device. The meter base device manufacturer makes
warranties covering the device and my use of it. PEE DEE ELECTRIC COOPERATIVE MAKES NO
WARRANTIES, expressed or implied. A copy of the manufacturer’s extended 10-year warranty will be provided.
There will be a $35 installation fee which will be billed to my account at the time of installation.
I agree to pay Five Dollars ($5.00) per month for use of the meter base device. I authorize this amount to be added
to my monthly electric bill and be part of the total due Pee Dee Electric Cooperative every month.
Either Pee Dee Electric or I may discontinue participation in the program at any time. An exit fee will apply should I
discontinue participation before 24 months elapse. I will notify Pee Dee Electric Cooperative if I no longer want to
participate. Pee Dee Electric will notify me if the program is discontinued or if at its option this agreement is
If I use the meter base device for one hundred twenty (120) consecutive months, it becomes mine. If I have made
all payments, I will not have to pay anything more for the equipment.
Acct. # ________________________________ Installation Fee: Amount $________ Paid Charged (Circle)
Name _______________________________________ Home Phone _____________________
Address _____________________________________ Work Phone _____________________
City _____________________________________, SC
For Office Use Only
PDEC Rep. ___________________________________________________ Date ____________________
Installed By ___________________________________________________ Date ____________________
Serial # _______________________________ Mfg. Date ______________ Warranty_________________
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