Electric Vehicle Charger Online Estimate

This form helps us gather details to prepare an accurate estimate. If a free site visit is necessary, we will contact you to schedule an appointment. Otherwise, we will send you an estimate via the email or text message you provided.

Things to Know Before Installing an EV Charger.
Click here! Level 2 EV Charger

Contact Name*

First NameLast Name
Proffered Contact Method

EmailPhone
E-mail*
example@example.com
Phone Number
Job Address (We require this information to determine whether an electrical permit is needed.)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you own the property or have written permission from the owner to install an EV charger on the property?*

Yes, I own the property.I have a written permission from the owner.I’ll provide written permission from the owner before installing an EV charger.
Is there a dedicated meter and electrical panel for the property?*

YesNoOther
Where is the home’s electrical panel box (sometimes called a "breaker box") located?*

Outside of the Attached GarageInside of the Attached GarageOutside of the Detached GarageInside of the Detached GarageOther
Mark desired location of Electrical Panel (O) and EV Charger (X).
How far away is the electrical panel from the desired charger location?*
How strong is the Wifi signal at your desired charger location?*
Select the Vehicle Manufacturer*
Select the EV Charger Manufacturer*

ChargePointEmporiaEVdutyFord Charge Station ProGM Ultium ChargerGrizzle-EJucieBox (Enel X)Tesla Wall ConnectorWallboxOther
Do you have your EV Charger with you?*

YesNo, but it should be delivered soon.Other
What type of EV charger installation would you like?*
Photos of Main Breakers and breakers*

Cancelof
Photos showing the preferred location for the EV charger and electrical panel*

Cancelof
Specification of EV Charger (If Applicable)

Cancelof
Are there any pets on the job site?*

YesNo
Is there a gate code (if applicable)?

Pick Preferred Time for Site Visit or Installation

	Mon	Tue	Wed	Thur	Fri
6 am - 8 am
8 am - 10 am
10 am - 12 pm
12 pm - 2 pm
2 pm - 4 pm

Additional Notes
Coupon Card (If Applicable)

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Should be Empty: