Equans inspection form

Please provide your details and information below. We will find the best EV charging option for you. If you have difficulty completing the form, please contact us on 0800 612 5050.

Step 1 of 4: Personal information

Personal information

Employee number*

How was your car supplied?*

First name*

Last name*

Address*

House number*

Postal code*

City*

Email*

Phone*

Vehicle information

Manufacturer*

Model*

Are you already in possession of the car?

When will it be delivered?

Is the car bought before 1st Oct 2016?