Charge@Home
Program Enrollment
Thank you for your interest in MGE's Charge@Home program. Please fill out the below information. Once submitted, an MGE representative will contact you for more information.
First Name
*
Last Name
*
Email Address
*
Address 1
Address 2
City
Zip or Postal Code
Please tell us about your electric vehicle:
Make:
Model:
How did you hear about us?
*
Internet/Google Search
Email
Direct Mail (Bill Insert, Paper Newsletter)
Local Conference or Event
Online Advertising
Friend, Neighbor, or Family Member
Social Media Post (LinkedIn, Facebook)
ChargePoint Charging Station Ad
Car Dealership
Other
address3
