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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?*

Your installation is intended for an apartment, please visit our Apartment Residents page for more information.

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

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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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