If you are an existing member of Beltrami Electric Cooperative, and will be moving out of your current location, please complete and submit the form below. Moving Out Form Indicates required field Moving Out Webform Account Number? Member Name Member Name? Middle Last Please enter name on BEC account here Social Security Number (Primary Member)? Date of Birth (Primary Member)? Joint Member Name Joint Member Name Middle Last Enter name of joint member if applicable here Social Security Number (Joint Member)? Date of Birth (Joint Member)? Service Location Address Service Location Address? City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Contact Phone Number(s)? Contact Phone Number(s) Contact Phone Number(s)? Type - Type -HomeOfficeCell Contact Phone Number Item weight Add more items more items Email Address Are you moving to a new location served by Beltrami Electric Cooperative - Select -YesNo If yes, please also complete and submit the "Moving In" form for the new service location. Forwarding Address New Forwarding Address New Forwarding City/Town New Forwarding State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Please enter a forwarding address for your account here. Preferred Confirmation Method? - Select -EmailPhoneLetter Is this location a rental property?? - Select -YesNo If this location is a rental property, please complete Landlord information below. Landlord's Name Landlord's Name Landlord's Phone Are you selling this location?? - Select -YesNo If you are selling this location, please complete information listed below. Realtor Name Realtor Name Realtor Phone Please use the format xxx-xxx-xxxx. New Owner Name New Owner Name? Contact Phone Number (New Owner)? Contact Phone Number (New Owner) Contact Phone Number (New Owner)? Item weight Add more items more items Effective Date? Are you moving out of your existing location? Complete this form now! CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.