EV Off Peak Charging Account Number * Customer Name * Email Address * Street Address * Name on Registration * Vehicle Identification # (VIN) * Plate Number * Charger Brand * Charger Model * Purchase Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Rebate Option * Level 1-$5 Level 2-$10 $300-New Level 2 Smart Charger Rebate Attach Proof of Off Peak Charging Schedule Files must be less than 5 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods. Attach Registration * Files must be less than 5 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods. Attach Receipt-$300 Rebate Only Files must be less than 5 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods. Attach Wire Inspection-$300 Rebate Only Files must be less than 5 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods. Leave this field blank