Customer Virtual Site Visit
Please fill out all of the below information to ensure we have enough to give you an accurate quote for your EV charger installation
Customer Details:
Full Name
*
First Name
Last Name
Address of EV Charger Installation
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
How did you hear about us?
*
Installation Information:
What type of EV Charger installation are you requesting?
*
Please Select
NEMA 14-50 outlet
Hardwired Charger installation
Need help decided the best solution
Brand/Model of Charger to be installed:
*
Chargepoint Homeflex
Juicebox
BMW Wallbox
Rivian
Siemens VersiCharge
Tesla Wall Connector
GM Ultium
Undecided
Other
Amperage of EV charger:
*
32 AMP
40 AMP
48 AMP
80 AMP
Adjustable
Other
Who is the electric service provider at the property?
*
See above example. Attach a clear picture of the inside of the meter main (where applicable). If main breaker is in your electrical panel, add a photo of it CLEARLY showing amperage.
*
Browse Files
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How many panels (including subpanels) are within the home?
*
Location of ALL panel(s)
*
CLEAR picture(s) of ALL panel(s) -- Please ensure all breaker #s/panel directories are visible for load calculation purposes.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Photo of preferred charger location:
*
Browse Files
Drag and drop files here
Choose a file
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of
Please add your estimated wire run from electrical panel to preferred charger location. Note: this is something we will confirm, so do not worry if you are unsure.
*
Under 10ft
10-25 ft
25-40 ft
40-55 ft
55-70 ft
Over 70 ft
Unsure, need assistance
Please add any additional information you think is important for us to be aware of below:
*
By checking the box below, I agree to contact the office upon competition so my request for quote is prioritized for review. Call/text Kat at (678)238-2647. I understand that if I do not do this my submission will not be reviewed.
*
Yes, I agree
I understand that if this form is not filled out to completion, including all required photos, I will not receive a quote.
*
Yes, I understand.
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