Electric Vehicle Charging Booking Form

The information collected on this form is used for booking purposes only.

The cost for use is £4 per charge (up to 8 hours)

1 Start 2 Complete

Name *

Contact Phone Number *

Contact Email *

Vehicle Registration *

Vehicle Make *

Vehicle Colour *

Date of Charge *

Day

Month

Year

Arrival Time *

Hour

Minute

Estimated Charge Time [hours] *

Up to 8 hours