Electrical Vehicle Access Form

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Electrical Vehicle Access Form

INSTRUCTIONS: In order to gain access to the stations, please create an account with Blink Charging at https://blinkcharging.com/drivers/ev-drivers/ and fill in the following information below. Once an account has been created and the form has been submitted, you will receive an invitation code. Please enter the invitation code by navigating to https://blinkcharging.com/drivers/ev-drivers/ > My Account > Station Access. Once the request is approved you will be able to access the EV stations.

Company Name:(Required)

Email:(Required)

Authorizing Manager:(Required)

First Last

Name:(Required)

First Last

Access Card Number:(Required)

License Plate Number:(Required)

By submitting this request I agree to follow Parking Structure Rules and Regulations.(Required)

I agree

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Electrical Vehicle Access Form

Electrical Vehicle Access Form

Brea Place

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