Help filling out the desired location form.

 

LOCATION NAME

This is just a name to refer to the area, examples are Oak Park Mall, Olathe Courthouse.

 

REQUESTING PERSON

The person wanting the charge station.

 

ADDRESS

Street address of the desired location.

 

CITY

City of desired location.

 

STATE

State of desired location

 

ZIP

Zip code of desired location.  Locations will be grouped by zip in the printed version of the charging stations.

 

ESTIMATED USAGE

How much would this station be used, in hours or kilowatts.  How many days a week.

 

REQUESTER PHONE

Your phone number..

 

EMAIL

Your email address.

 

COMMENTS

Any additional comments.

 

SEND

Click SEND button when finished filling out form.  The information will be sent to me and I will see if a charging station can be found..

 

Thank You,.

Tom Herrmann, tom@herrmanninc.com

 

Last Updated: 02/03/2009