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Residential Off-Peak EV Charging Station Application

Residential EV Charging Station Program Application

  • Section A: MEMBER INFORMATION

  • Member Name * Required
  • Mailing Address * Required
  • Please tell us how you first heard about the charger incentive program.
  • Section B: INSTALLATION INFORMATION

  • Physical Address ( where EV Charger will be installed) * Required
  • Section D: Signature

  • Terms and Conditions * Required
    I have read and understood all materials, including the Terms and ConditionsTerms and Conditions
  • This field is for validation purposes and should be left unchanged.