Your Name

Your Email

Your Phone

Organization (if applicable)

Your Address

Have a charging station, wifi hotspot, or parking spot location in mind?

Telegram ID (https://t.me/chargchat)

Forum ID (https://forum.chgcoin.org/signup)

What is Your Budget?

I'm here to...
sell charging stationsown charging station locationsbe an electricianfinance charging station locations

Are you an electrician?
YesNoA little

Do you require financing?
YesNoA little

Would you be interested in Providing Financing?
YesNoA little

Questions, comments, or concerns?