Sign Up for EV Charging Station Installation

EPS7495 - Clarke+Como

567 Clarke Rd
Coquitlam, British Columbia V3J 3X4

Your name *

Unit # *

Parking Stall #(s) *

Your email *

Your phone #

Preferred contact method *

What type of parking stall is it? *

Please select by clicking applicable circle radio button below.

Center of Single Stall

Middle of 2 Stalls

Column Mounted

Open Island Parking Stall

Please upload the photo of your parking stall. add photo

Notes or Questions

To confirm this installation request, I hereby agree to:

Pay a deposit of $500.00 to register.

I understand this deposit is non-refundable.

Note: If the EV Charging Station is installed the balance owing is due.
In the event the EV infrastructure project is cancelled, the deposit will be returned.

Price (Supply & Install per Parking Stall)	$3,850.00
Tax 5% GST	$192.50
You Pay	$4,042.50
Deposit	$500.00
Balance Due	$3,542.50

The balance is due after the charging station has been installed, tested & commissioned.

Please select your preferred option for paying the balance:

Pay total balance $3,542.50 within 30 days by Cheque, Credit or Debit Card

12 Payments Plan: 12 x $318