Dealer / Contact Information
Dealer Name
*
Dealer Order/Reference Number
Has customer paid for the standard installation to the dealership
*
Yes (Calibre Connect will invoice the dealership for the standard installation, please provide PO details below)
No (Calibre Connect will invoice the customer directly for the installation)
If Yes, put the PO Reference
Has the customer received the MG Chargehub
*
Yes
No
If No, put the ETA for the charger
MG Chargehub details
7kW
11kW
Dealer Contact Name
*
Dealer Contact Phone
*
Dealer Contact Email
*
Customer Information
First Name
*
Last Name
*
Address
Address
*
Suburb/City
*
Choose State
*
Postal code
*
Vehicle & Other details
VIN
Apartment Installation
*
MG Model
Charging Station
*
Estimated distance switchboard to garage / car port?
*
Estimated Vehicle Delivery Date
Preferred Installation Date
Please allow at least 10 business days to book the installation
Preferred Installation Time Slot
*
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