United EV Enrollment Form

Account Information
Name
Service Address
Enrollment Information
Please select a date between Monday - Friday. Weekend service unavailable.
One file only.
20 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, jpg, jpeg, png.
United EV Program Agreement

Enrollment in the United EV Charging-as-a-Service Program is contingent upon signing the program agreement. Please review and sign the program agreement below. 

Program Agreement

      Click here to apply for our make-ready wiring rebate. 
Signature & Authorization
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