EV Owner Information
Member Contact Information
First Name
Last Name
Phone
Account #
Email
Service Address
Street
City
State
Zip Code
EV Information
EV Model
EV Make
EV Year
How far do you commute on a daily basis?
Please select...
<less than 10 miles
10 to 30 miles
30 to 50 miles
> greater than 50 miles
What made you decide to purchase an EV?
Please select...
Cost Effective (Gas Prices/Rebates/Maintenance)
Environmentally Friendly
Advanced Technology Features
Fun to Drive
Other
What is your favorite thing about your EV?
EV Charging Information
EV Charger Type at Residence
Please select...
Level 1
Level 2
Level 3
What is your preferred charging location?
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Home
Work
Public Charging Station
Other
What time do you normally charge?
Please select...
Daytime 8:00 am to 5:00 pm
Evening 5:00 pm to 10:00 pm
Overnight 10:00 pm to 8:00 am
How many times a week do you charge your EV?
Please select...
5-7 Times
3-5 Times
1-2 Times
Do you utilize scheduled charging?
Please select...
Yes
No
Attach a photo of your EV to be featured!
Contact Information