• First Name*

  Please enter your first name.
• Last Name*

  Please enter your last name.
• Phone*

  Please enter your phone number.

  This isn't a valid phone number.
• Email*

  Please enter your email address.

  This isn't a valid email address.
• Address*

  Please enter your address.
• City*

  Please enter your City.
• State* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Please make a selection.
• Zip Code*

  Please enter your Zip Code.
• Preferred Contact Method Phone Email Text

  Please make a selection.

Home Info

• How many SQ. Ft. is your home?
• What is the age of your home?

  Please enter your answer
• Do you have a detached garage? Yes No

  Please make a selection.

Please indicate the number of units for each appliance or item below. This is used for a load calculation to determine if your home can handle the additional load from the EV Charger.

• Central AC Units 0 1 2 3

  Please make a selection.
• Electric Dryers 0 1 2 3

  Please make a selection.
• Refrigerators 0 1 2 3

  Please make a selection.
• Stand Alone Freezers 0 1 2 3

  Please make a selection.
• Electric Stove/Range 0 1 2 3

  Please make a selection.
• Electric Cook Tops 0 1 2 3

  Please make a selection.
• Hot Tubs 0 1 2 3

  Please make a selection.
• Electric Furnace 0 1 2 3

  Please make a selection.
• Food Waste Disposer 0 1 2 3

  Please make a selection.
• Dish Washer 0 1 2 3

  Please make a selection.
• Sump Pump 0 1 2 3

  Please make a selection.
• Garage Door Opener 0 1 2 3

  Please make a selection.
• Mini Fridge 0 1 2 3

  Please make a selection.
• Electric Water Heater 0 1 2 3

  Please make a selection.
• Microwave 0 1 2 3

  Please make a selection.
• Range Hood 0 1 2 3

  Please make a selection.

EV Charger and Vehicle Info

• Type of access from panel to garage On same wall as garage Unfinished basement Crawl space Attic None of the above

  Please make a selection.
• Briefly describe where your main panel is located in relation to your garage

  Please enter a message.
• Size of main breaker 100 AMP 125 AMP 150 AMP 200 AMP Don't Know/Can't Find

  Please make a selection.
• When facing the garage from the street, where in the garage would you like the charger mounted? Left wall Rear wall Right wall

  Please make a selection.
• What is the year, make, and model of the vehicle you'll be charging?

  Please enter your answer
• Do you already have your Electric Vehicle? Yes No

  Please make a selection.
• If no vehicle, what is the approximate date you are receiving your vehicle?

  Please enter your answer
• Do you already have a charging station? Yes No N/A Please include charger in this estimate

  Please make a selection.
• If yes, what brand of charging station?

  Please enter your answer
• Are you part of the Xcel accelerate at home program? (Instant rebate on the installation) Yes No I would like more information

  Please make a selection.
• How did you hear about us? Google Xcel Energy Tesla Sunrun Dealership Other

  Please make a selection.
• If other, please let us know