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Home Charger Installation request

Please complete the below form to organise the installation of a home charger

"*" indicates required fields

Customer Name*

First Last

Address*

Street Address Unit Number Suburb State Postcode

Email*

Phone Number*

Car Model*

Car Brand*

Charger Model for Cupra

Charger Model for Genesis

Charger Model for Hyundai

Vehicle Delivery Date (estimated)*

Do you live in a house, townhouse or apartment?*

Do you require owners committee (body corp) approval to install a charger?*

Do you have off-street parking eg. a garage or private driveway?*

Unfortunately we only install chargers when the vehicle is parked inside your property, such as your home garage or private driveway.

Comments

Agreement*

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