Name *

Email address *

Phone number *

Company name *

Number of employees *

Company postcode *

Why would you like to be associated with Easee? *

How many chargers have you installed in the past 12 months? *
Less than 10Less than 50Less than 100More than 100

What one of these accreditation bodies are you a part of? *
NICEICSELECTELECSANAPITOther

Which product are you interested in? *
---Easee HomeEasee Home + InstallationEasee Charge

Are you ok with us sharing your details with an approved Easee installer in your region? *
---YesNo

First Name *

Last Name *

Email *

Phone

City *