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Application Form:

Business Information

The business will encourage future uptake of EVs
Existing need
My business is part of a franchise
Identified future need

Key contact

Alternative contact

Section 2: If known please supply information on chargepoints required

Site/location 1

Has a site survey been completed at the above installation address?

Site/location 2

Has a site survey been completed at the above installation address?

Site/location 3

Has a site survey been completed at the above installation address?

Site/location 4

Has a site survey been completed at the above installation address?

Site/location 5

Has a site survey been completed at the above installation address?