EV Information

EV Programs and Services Interest Form

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

First Name

Last Name

Service Address

Zip Code

Email Address

I currently (check all that apply)

Own an Electric VehicleAm Interested in Purchasing Electric VehicleAm Interested in Gathering Electric Vehicle InformationOwn a Home Battery Backup SystemHave a backup generatorHave Renewable Energy Installed (solar or wind)

Yes! I'd like to get more information on FreeState's EV programs and services like Club Electric.

YesNo

Save my progress and resume later | Resume a previously saved form

To Report an Outage:

EV Information

EV Programs and Services Interest Form