Home Charger Installation request for CUPRA customers

Please complete the below form to organise the installation of a home charger for your new CUPRA

"*" indicates required fields

Name*

First Last

Address*

Street Address Unit Number Suburb State Postcode

Email Address*

Phone Number*

Car Model*

Charger Model*

Vehicle Delivery Date (estimated)*

Do you live in a house, townhouse or apartment?*

Do you require owners committee (body corp) approval to install a charger?*

Do you have off-street parking eg. a garage or private driveway?*

Unfortunately we only install chargers when the vehicle is parked inside your property, such as your home garage or private driveway.

Do you have solar panels at home?*

What size is your solar system?*

Agreement*

I agree to JET Charge’s Terms of Use and Privacy Policy.

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