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Jaguar Land Rover Charging Equipment Form

Fill in the form below to request an installation quote from JET Charge for dealership customers.

We have a new, direct number for our electric vehicle partners to contact us.

To get in touch, contact us on:
1300 840 332
Monday – Friday: 8.30AM – 5PM AEST

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Customer Information

Customer Name*

First Last

Address*

Street Address Unit Number Suburb State Postcode

Email*

Phone Number*

Car 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?*

Do you have solar panels at home?*

What size is your solar system?*

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.

Dealer / Contact Infomation

Dealer Contact Name*

Dealership

Dealer Phone*

Dealer Email*

Dealer Order/Reference Number*

Agreement*

I agree to JET Charge handling any personal information provided in accordance with the Privacy Policy.

I agree to JET Charge’s Commercial Terms applying to this order unless the order is covered by a separate agreement between the parties.

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Customer Information

Dealer / Contact Infomation

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Jaguar Land Rover Charging Equipment Form

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