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EV Charger Estimate Form
First Name
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Last Name
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Phone
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Email
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Address
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Address 2
Single Family, Multi Family, or Commercial Installation site?
Own or Rent?
Own
Rent
Do you have a level 2 Charger already?
Yes I have one, Or I plan on buying my own
I would like you to include the charger in the estimate
If you are providing the charger, what is the make and model?
Where do you want the charger installed?
Inside my garage
On the Exterior of the house/building
Other
Is your house pre-wired for an EV Charger?
Yes
No
Not Sure
What year was your house built?
2015+
2000-2015
1990-2000
1989 and older
Do you have any of the following? (Select all that apply)
Electric Oven
Electric Cook Top
Central A/C
Pool
Hot tub/Spa
Electric Water Heater
Electric Dryer
Solar
Existing EV Charger
Steam Unit
Please upload a Picture of your main Electrical panel on the exterior of the house so I can see the Breakers and labels.
Please upload a picture of any other electrical panels you may have so I can see the breakers and label.
Standing back 10ft, Please upload a picture of the area you would like the Charger installed.
Approximately how many feet from the main electrical panel is the Charger installation location?
Any additional comments or information you would like to add?
Submit Form
