KANSAS CITY CHARGING STATION ENTRY FORM
Location Name:
Contact Person:
Address:
City:
State:
ZIP:
Latitude:
Longitude:
Lookup Decimal Latitude/Longitude (optional)
Charge Type:
	example: 110/15A, 110/20A, 220/xxA 4-prong. 220/xxA 3-prong, outside/call
Phone:
Email:
Comments:
HELP WITH FORM