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

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

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.