Customer Inquiry Form

First Name *

Last Name *

Address *

Your Eircode *

E-mail Address *

Phone Number *

What make and model of EV / PHEV have you purchased? *

Please upload a picture of: *

• Picture of the proposed location for the charge point

• Picture of your internal fuse/distribution board with the door open and the contents clearly visible

• Picture of your external meter board with the door open and the contents clearly visible, if you feel the connection can come from there

• Photo of sketch showing the cable run required to bring power from your internal fuse/distribution board, with approximate distance of run in meters

This may sound like an odd request but it is critical for the install process.

Is the fuse board on an outside wall? (i.e a wall where the other side is outdoors) *
YesNo

Is the fuse board on the same wall as the external meter box? (i.e both mounted on the same wall of the house, one indoors one outdoors). *
YesNo

Are you happy for all cabling to be installed in PVC trunking internal & piping where required? (We currently offer either black or white) *
YesNo

Do you have an electric shower/heat pump/storage heating in the property?*

YesNo

Is your Wifi signal strong at the proposed charger location? (e.g. Do you get three bars on your phone when standing there; if so the answer is yes) *
YesNo

Select your charging option *

Smart ChargerDumb Charger

Do you require the charger to come with cable attached (i.e. tethered) or will you be using a separate charging cable? *

Is the property a bungalow or 2-storey? *

TerraceDetached bungalowDetached 2 storeySemi-detached bungalowSemi detached 2 storey

Strength of your internet connection/wi-fi at the point you want the charger installed with description as to how internet access will be made available: *
Wi-fi is very strongEthernet / lan connection from router. In this case, please specify length of cable run to charge point, or4G will be required. In this instance we can propose a charge point with a 4G connection

Your preference of charge point: *

Tethered (with cable permanently attached)Non tethered (you have to plug in each time you want to charge)4G (internet signal not strong enough, so will require 4G connection)Wall mounted or post mounted

You must have your SEAI paperwork ready on the day of installation so we can complete same for you.
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