Application for EnergyWise Electric Heat
Service availability monthly charge is $43.50
General Service rate is $ .118 (summer June-August rate is $ .132)
This Agreement made and executed the ______ day of __________________________________, 2015 by Arrowhead
Cooperative (AC) and ___________________________________________________________________________________.
(Please PRINT Member’s name)
This page must be FULLY COMPLETED PRIOR to any ENERGYWISE heat meter or subtract meter BEING ENERGIZED
Member agrees to participate in the following TWO Meter Electric Thermal Storage (ETS) Program (choose only one)

# 1 ETS Water @ $.0474/kwh: The Member’s water heater(s) must comply with AC rules (typical
80 gal. minimum) Water is controlled 16 hrs every day (charging only 8 hours in a 24 hr period).

# 2 ETS Heat @ $.0474/kwh: The Member’s space heating system must be sized properly to deliver
heat to the entire premise by storing heat produced from electricity during off-peak periods
(charging only 8 hours in a 24 hr period).

# 3 ETS Heat and Water @ $.0474/kwh: Same as BOTH ETS Water and Heat as listed above.
Rates subject to change based on latest applicable rate schedule
and may be adjusted or discontinued at any time with out notice.
Note: Your space heating system must be capable of providing your entire home’s heating requirements by
storing heat produced from electricity during off-peak period(s). Please remember that all households
have differing heating and hot water needs, so you must size your heating system and water heater according
to those needs.
I, the undersigned Member, hereby certify to AC that the present ETS space heating system is
sized properly for the entire heating load of the electric service at the following address:
___________________________________________. I further agree that if that space heating system does not
provide enough heat from storage to heat my home during the on-peak portion of the day, AC shall
not be liable for any economic loss, personal injury, or property loss that results. I further agree that
AC shall not be liable for any economic loss, personal injury, or property loss that results due to
the unsatisfactory operation, malfunction, or inadequate storage capacity of the heating system.
Return agreement with hook-up fee of $200.00 for each radio receiver switch.
Failure to participate in the program for a minimum of one year may preclude this service from being eligible
for other EnergyWise heating programs now or in the future. Member agrees to allow the Cooperative to inspect
the installation and operation of the radio receiver device at all reasonable hours.
By: _______________________________________________________
Date: _____________________
(Member’s Signature)
(Today’s date)
***Electrician or owner complete boxed information below***
Load:  Heat _______ kW, Model ______________________
 Water Htr_____kW, _____ gals
Socket:
 100 amp socket
 200 amp socket
 400 amp socket (CT)
 other _____________ (CT)
 Pole mount
 Pedestal
Meter:
 Subtract Heat, subtracts from general service meter (electrician will install  yes or  no)
 Primary Heat, (linemen will install & connect to transformer / $150.00 connection fee)
Electrician: _______________________________________ Ph # _____________________________