EV Time-Of-Day Enrollment

Name

First NameLast Name
Primary phone number
Format: 000-000-0000.
Secondary phone number
Please enter a valid phone number.Format: (000) 000-0000.
Primary email address
Account number
Address

Street Address

Street Address Line 2

CityState

Zip Code
Electric vehicle information
Vehicle type
Make
Model
Year
Purchase date

MonthDayYear
Date
Is your home already equipped with an EV off-peak meter socket?
Is this your first EV charger at your home?
To issue the EV meter socket equipment, please answer the following:
Number of breakers dedicated to the electric vehicle
AMPS for each breaker
Do you have an electrician or are you self-wiring?
Please select delivery option for meter socket equipment
Note: Homeowner Association (HOA) approval may be required, if applicable.
I understand my account will be billed the actual cost (up to $100) for this equipment if not installed and inspected within 90 days.
Please verify that you are human
By providing your phone number(s), including any mobile number, you authorize Connexus Energy and its agents to contact you regarding your account using any means, including automatic telephone dialing systems, prerecorded voice messages, text messages, or other forms of communication. You understand that message and data rates may apply. Your consent is not a condition of receiving service. If your number changes, you agree to promptly notify Connexus Energy.
Should be Empty:

Electric vehicle information