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Electrify Seattle Install Give away Form

Thank you for visiting us at Electrify Seattle 2024! Fill out form completely and accurately. Incomplete forms will not be considered. By filling out and entering your information you are agreeing to our privacy policy (see link below). Forms entered will only be accepted between September 14th & 15th, 2024.

First Name*

Last Name*

Contact Number*

Email*

Address*

City*

Zip Code*

Are you a home owner?*

Electrical panel in garage?*

Install charger in your garage?*

Own an EV? What model?*

Location of panel or charger if not in garage.

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Greenvolt Electric Vehicle Charger Installation

PO Box 5434, Lynnwood, WA 98046

425.218.6445 greenvolt.office@gmail.com

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