Submission Form: 📝 Share Your Long-Term EV Vision with Us!

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NO-Cost Fast-Chargers | Energy Storage Infrastructure Programs!

Congratulations on your Fast-Charging EV/Energy Initiatives and your interest in our incredibly valuable programs!

We appreciate your consideration of Opt4's assistance in seizing this opportunity with No-Cost Infrastructure.

To ensure a seamless integration within a demanding roll-out timeframe, we kindly request that you promptly submit this form. Providing comprehensive information about your location(s) and its offerings to customers will further enhance the value of your submission.

Thank you for your participation, and we look forward to working with you to execute a successful program!

Application Date:

First

Last

Title

Phone Number

Business Name

Business Address

EV/Energy Host Address (if different from the main address):

Type of Business:

Hotel | Resort | Casino

Mall | Shopping Center

Retail | Restaurant

Gas Station | Truck Stop

Grocery Chain

Convenience Store (with or without gas)

Business/Employees | Apartment Building/Tenants

Gov | Urban | Municipalities | Parks

Other

Property Website:

How Many Properties Are You Applying For?:

How Many Parking Spaces:

Is the Property 'PARKING LOT' Owned or Leased? | If Leased, Length of Terms?:

Is the Property 'BUILDING' Owned or Leased? | If Leased, Length of Terms?:

How Many Properties are in Your Group/Franchise? | How Many Do You Have Influence Over?:

Portfolio Spreadsheet (please upload an Excel file for multi-locations):

Upload File

Upload supported file (Max 15MB)

Utility Company:

12 Month Utility Bills (please upload):

Upload File

Upload supported file (Max 15MB)

Please Provide a Picture of Fuse Panel/Power Label (upload): [must confirm property can support upgrading cabling]

Upload File

Upload supported file (Max 15MB)

Please provide a quick overview regarding your EV/Energy Renewable Initiatives and explain why your property would benefit from being chosen for this Exclusive NO-Cost Program.

Please provide a short description of the site, including amenities such as restaurants, rides, washrooms, shopping, and any other relevant details about the proposed location. Feel free to mention nearby attractions or amenities:

By checking the box, you confirm that the site will provide up to 4 parking spaces for 2 or 4, 150kW Fast-Chargers, as well as an 11'x11' area (approximately 1 parking space) nearby for the Energy/Battery Storage Unit.

By checking the box, you confirm that the host site will provide at least 12 months of utility bills for analysis as soon as possible. This is required to determine the additional eligibility, process cannot continue until they are received.

Please Share Any Specific Notes or Requests:

Our teams will closely coordinate to ensure a smooth, speedy, and successful process throughout the entire program.

If you have any questions, please don't hesitate to reach out to:

John Gunter Jr. | 801.654.5973 | john.gunterjr@opt4ev.com
Jeff Krupnick | 804.536.5965 | jeff.krupnick@opt4ev.com

We look forward to a successful process!

By authorizing this form, you agree to allow eCamion and Opt4EV to exclusively submit the paperwork and complete the process on behalf of your property for approval.

Thanks! We’ll get back to you as soon as possible

NAVIGATE

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NO-Cost Hosting
NEVI
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About
Contact Us

CONTACT

The Opt4Group, Inc.

Richmond, Va 23233

844.678.4384

i nfo@opt4ev.com

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We specialize in offering comprehensive solutions for businesses seeking to embrace the future of sustainable transportation by providing top-tier EV Charging Station infrastructure, along with professional installation services.

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