Electric Vehicle Charging Technical Assistance Program

2. First Name*
3. Last Name*
5. Organization Name
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
16. Property Type*
    -- Select One --Multifamily - ApartmentsMultifamily - CondominiumsSmall Work Place (Less than 50,000 SF or 100 Employees)Large Work Place (More than 49,000 SF or 99 Employees)GovernmentEducationCommunity Based Organization
18. How many parking spaces do you estimate are at your establishment?*
20. How did you hear about the AMP EV Charging Program?
    -- Select One --Call from AMPEmail from AMPPostcardAMP AdvertisementCommunity EventAMP WebsiteSocial MediaWebinarWord of Mouth
22. Is there anything else you would like to tell the team?
26. AMP Terms and Conditions*

    Please review AMP's Terms & Conditions for the EV Technical Assistance Program.

    
    

    1. Check here to indicate that you have read and agree to the Terms & Conditions of AMP's Technical assistance offer.
28. Questions?

    Please contact us at amp.ev@clearesult.com or at (510) 803-7349

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