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Customer details

First Name

Last Name

Email

Mobile Phone

Address Line 1

Address Line 2

City

Postcode

Charger point details

Which charge point would you like installing?

Installation survey details

Please confirm when you would like one of our surveyors to visit your home to review it for a smart home charger installation?

Please choose a time slot for your smart home charger installation survey:

Other Information:

Please let us know any other information which you consider we should be aware of prior to starting your application. If you provide any information that may be sensitive, such as health information, you are giving your consent that this will be held within our system to assist with your installation.

Throughout the onboarding process we will be sending you certain documentation electronically. Please tick this box to confirm you are happy to receive information in electronic form.

Please tick this box to confirm you have read our Privacy Policy.

https://plugmein-ev.co.uk/privacy-policy/

Plug Me In Limited T/A Plug Me In (FRN 972765) is an Appointed Representative of Consumer Credit Compliance Limited who are authorised and regulated by the Financial Conduct Authority (FRN 631736).

The permissions of Consumer Credit Compliance Limited as a Principal firm allow Plug Me In Limited T/A Plug Me In to undertake Consumer Hire activities.