Kentucky Electric Cooperatives Payment Name(Required) First Last Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Consent(Required) I agree to the privacy policy.Company Invoice is for:(Required)Please select companyUnited Utility SupplyDECOKAEC / Kentucky Electric CooperativesKentucky Living MagazineUUS WarehousePlease select StateKentuckyAlabamaIndianaOhioPennsylvaniaPlease select the warehouse from which the order was placed / being fulfilled. PO / Order Ref Number(Required)DescriptionTotal Payment Amount(Required) Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name Total Δ
