Suggest a location for a lamp column charge point

About you and your vehicle

1. What is your name?

2. Address:

3. Postcode:

(Required)

4. Email address:

5. Do you own a Fully Electric/Plug-in Hybrid vehicle or are you considering buying one?

(Required) Fully Electric Plug-in Hybrid Considering buying one

6. If you already own a Fully Electric or Plug-in Hybrid vehicle, what is the make and model?

Make:

Model:

7. Apart from your street, please specify any other location(s) where you would like to see vehicle charging facilities:

8. Do you have any other comments?