• Proposed site details

  • If you'd like to submit a proposal for more than one site address, please complete a new proposal for each.

  • Site ownership details

  • If no, please provide the landowner's contact information. Only provide this if you have their expressed permission to submit this proposal for their site.

  • Unfortunately, sites that don't meet the minimum of 4 available parking stalls aren't suitable for our charging network.

  • Rationale

  • Should be Empty: