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Email
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Address
City
State
Zip Code
Vehicle Make
Vehicle Year
Vehicle Model
When will you have your electric vehicle?
I already have it
I have ordered it
I haven't purchased it
What type of charger installation are you planning?
Level 2 wall mounted charging unit
NEMA 14-50 240 volt outlet
I'm not quite sure
Do you rent or own the property?
Own
Rent
What type of property will the charging station be installed at?
Single Family Home
Duplex, Condo, or Townhouse
Apartment
Mobile Home
Other
Anything Else You'd Like Us To Know?
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