Electric Vehicle Day Registration Form

Electric Vehicle Day Registration Form
EV19
An Electric Vehicle Demonstration Day
Friday, April 26
Central Georgia Technical College, Milledgeville
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Number of Attendees in Your Party (including yourself)
I'd like to receive additional information from Tri-County EMC regarding Electric Vehicles and any future rebate programs.

YesNo
Should be Empty: