Free EV Charger and Installation Program Form

Free EV Chargers & Installation Program - Application Form

    Q1. Business or Property Name:

    Q2. Where is the parking lot/space where you wish to install the EV chargers located?

    Q3. Is the property you wish to install the EV chargers commercial or residential?

    CommercialResidential

    Q4. Which option best suits your needs?

    1 x 30 kWh DC Charger2 x 30 kWh DC Charger5 x Level 2 Chargers (up to 10 ports)1 x 30 kWh + 3 x Level 2 Chargers (up to 6 ports)

    Q5. Do you own the property?

    YesNo

    If no, do you have permission from the property owner to install the chargers?

    YesNo

    Q6. How much power from your property can you allocate to the EV Chargers?

    Not sure at this moment
    Q7. Does the property have a minimum of five parking spots?

    YesNo

    Q8. Are the parking spots on the property 24/7 accessible?

    YesNo

    Q9. Does your parking lot have access to Wi-Fi?

    YesNo

    Q10. Who would be using these EV charging stations?

    Open to allCustomers onlyEmployees onlyOther

    Q11. How many vehicles would you expect on a daily basis to use the chargers?

    1-5 vehicles6-10 vehicles11-20 vehicles21+ vehiclesUncertain

    Q12. When do you wish to have these EV charger(s) installed?

    No timeline yetAs soon as availableWithin 6 monthsWithin 1 yearWithin 2 yearsOther

    Q13. Total parking spots on the property?

    1-1011-5051-100100+

    Q14. Do you currently have any existing EV chargers installed on the property? If yes, how many chargers and what brand & model are they?

    YesNo

    Q15. Are you interested in adding solar panels and/or digital signage for additional cost?

    YesNo

    Q16. How did you hear about this program?

    WebsiteSocial MediaReferralOther

    Q17. Please tell us why you should be selected for a free install and EV charger(s)? (1000 characters max.)

    *Note: If you have more than one location on which you would like EV chargers, please fill a separate form for each location.

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