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Connekt Fully Funded EV Charging Application Form

This form is for use by approved Connekt Partners such as Wholesalers and Manufacturers. By completing this form you'll help us quickly assess the viability of us funding the  installation of EV Chargers at the site you have identified, but you'll also increase the conversion rate from enquiry to install. Provide as much information as possible.

Please Note...

Complete as much information as possible.

Section 1 is Mandatory Submission Information.

Section 2 is Optional Submission Information, but these optional details are extremely helpful when provided and greatly enhance the success of your application.

Mandatory Submission Information

Installer/Referrer Details

Site / Lead Details

This is information about the target site which is enquiring about EV Charging facilities being installed.

Site Type

To determine likely demand and funding potential.

Optional Submission Information (Click to Expand)

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If you have this information to hand, it greatly speeds up our process of assessing funding viability

Electrical Installation & Groundworks

Interest & Intent Helps prioritise warm leads.

Additional Notes

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