RAA EV Drive Experience - Booking Form
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone
*
Drivers Age (All drivers must be over the age of 18 and not on a Learners or Provisional Licence)
*
Drivers Licence Confirmation
*
I confirm that I hold a valid and full Australian Car Driver's Licence (No Learner or Provisional Drivers permitted)
Occupation
Please select the vehicle you wish to drive?
*
Please Select
Toyota BZ4X
BYD Dolphin
BYD Sealion 7
Kia EV3
Kia EV5
Hyundai Inster
Hyundai Kona
BMW IX1
BMW IX2
Ford Mach E
Mini Cooper
Mini Aceman
MG IM5
MG4
Toyota BZ4X
BYD Dolphin
BYD Sealion 7
BMW iX1
BMW iX2
Kia EV3
Kia EV5
Hyundai Inster
Hyundai Kona
MG4
MG IM5
Mini Cooper
Mini Aceman
Ford Mach E
How many passengers will you have with you?
*
Please note that a maximum of three (3) passengers, in addition to the driver, are allowed in the test drive vehicle at one time as an Eagers Automotive Representative will be present as well.
Back
Next
Which best describes your current vehicle?
*
Petrol
Diesel
Petrol Hybrid
Diesel Hybrid
Electric
Which of the following EV consumer stages best describes you?
*
Please Select
Awareness - Not quite sure about EV's
Desire to own - Not quite ready to commit
Research - Considering the options
Shopping - Actively looking and ready to make a purchase in the near future
Ownership - Early adopter and ready to explore newer models
Which of the following finance options would you purchase a new EV through?
*
Car loan
Novated lease
Purchase outright
Company vehicle
Prefer not to say
Do you currently have a novated lease?
Please Select
Yes
No
Where do you think you will charge your Electric Vehicle most?
At home
At work
Public charging station
Prefer not to say
Where do you charge your electric vehicle most?
At home
At work
Public charging stations
Prefer not to say
If your vehicle is a plug-in hybrid, where do you charge your electric vehicle most?
At home
At work
Public charging stations
Prefer not to say
What is your biggest barrier to getting a full electric vehicle?
Back
Next
Would you like to be added to the RAA mailing list to hear more about the latest in automotive and travel news as well as RAA's products and services?
*
Please Select
Yes
No
Only your name and email will be provided.Note: You may change your preference to receive email marketing at any time directly with this organisation that has obtained your information via your initial consent – by following prompts on their marketing communications.
Would you like to be added to the Eagers Automotive Group mailing list to hear more about their products and services?
*
Please Select
Yes
No
Only your name and email will be provided. Note: You may change your preference to receive email marketing at any time directly with this organisation that has obtained your information via your initial consent – by following prompts on their marketing communications.
Would you like to be added to the Smart Group mailing list to hear more about their products and services?
*
Please Select
Yes
No
Only your name and email will be provided. Note: You may change your preference to receive email marketing at any time directly with this organisation that has obtained your information via your initial consent – by following prompts on their marketing communications.
ID Requirement
*
I acknowledge that I will be required to present my valid driver's licence and a second form of identification (Medicare card, rates notice etc.) upon arrival in order to undertake this test drive.
Test Drive Disclaimer and Indemnity Form Acknowledgement
*
I acknowledge that I will be required to complete an Eagers Automotive Test Drive Disclaimer and Indemnity Form on the day of my drive experience. (required)View an example of the Driver Disclaimer at: http://worldsolarchallenge.org/terms-and-conditions--ev-drive-day
Data
*
I acknowledge that my name, mobile, age, occupation, and EV consumer stage response will be shared with Eagers Automotive Group, RAA and Smart Group as operational detail needed for the successful delivery of the RAA EV Drive Experience, and that my details will be securely deleted within three months of the event.
Submit
Should be Empty: