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Name: Address: Phone: Email: Company: Site Location & Address: City: State: Zip: Utility Company: Type of Charger Output Needed: Charger Output 1 (in Amps or kW): Quantity of Charger 1 (per output): Charger Output 2 (if applicable): Quantity of Charger 2 (per output): What is your project timeline? 1-3 months4-6 months7-12 monthsSeeking Information Select one of the following: -- select --Product - Only purchaseProduct & Engineering Services (Includes Bid Packet for 2-3 Electricians to Bid on AND signed & sealed drawings)Turn-Key Solutions (Product, engineering / architecture / installation services, incentive management, activation & site management Upload any relevant file(s) including a site map, utility bill, electrical wiring diagram(s), panel schedule(s), etc.:
