SVCE GridShift Charger Rebate Reservation Application Question Title * 1. Applicant Information Your name Your email Your phone number Charging site address Charging site city Charging site zip code PG&E account number associated with property Question Title * 2. What make and model EV do you currently have or plan to purchase? The following EVs DO NOT qualify: Acura: ZDX (2024+), Alfa Romeo: Tonale (2023+), Audi: e-tron (2019+), Q4 e-tron (2022+), BMW, Cadillac: LYRIQ (2023+), Chevrolet with OnStar Diagnostic Subscription: Blazer EV (2024+), Bolt EUV (2022+), Bolt EV (2017+), Equinox EV (2024+), Silverado EV (2024+), Spark EV (2015-2016), Dodge: Hornet (2023+), Fiat: 500e (2024+), GMC: Hummer EV (2022+), Honda: Prologue (2024+), Hyundai, Jaguar: I Pace (2019+), Kia, Land Rover: Range Rover P 400 and Sport P 400 E (2019-2021), Lexus: RX 450 H PHEV and RZ (2023+), Mazda: CX-60 and CX-90 (2024+), MX-30 (2022+), Mini: SE Countryman (2018+), SE Hardtop (2020+), Nissan: Ariya (2023+), Porsche: 992 (2022+), Cayenne (2020+), Taycan (2020+), Ram: 1500 REV, Subaru: Solterra (2023+), Tesla, Toyota: BZ4X (2023+), Prius Prime (2017+), RAV 4 Prime (2021+), and Volkswagen: e-Golf (2020), ID 4 (2021+), Tiguan PHEV (2023) these EVs are already compatible with the GridShift app – you can start smart charging today! Please review the GridShift Equipment Specifications for more information. Question Title * 3. What electric vehicle charger do you plan on purchasing? Emporia Charger WiFi-enabled ChargePoint Charger Question Title * 4. What smart device do you plan on using to download the app and use for your smart charging sessions? Apple iOS Android Question Title * 5. Where do you plan on setting up your EV charger? Garage Outside of home Other Undecided Question Title * 6. Will setting up a new EV charger require you to upgrade your main service panel? Yes No Not sure Question Title * 7. Do you plan to use any other rebates for your EV charger? Plan to use SVCE rebates only Plan to use BayREN rebates also Plan to use federal tax credits also Don’t know Plan to use other rebates (please specify which ones) Question Title * 8. How did you hear about GridShift rebate program? SVCE Website Flyer in the mall Email advertisement Radio Commercial TV ad Social Media Web search Friend Family Member Question Title * 9. Please read the SVCE GridShift Charger Rebate Participant Agreement and type your name below to indicate that you agree to the Terms and Conditions. I, the undersigned, have read, understand, and agree to the terms outlines in the SVCE Rebate Participant Agreement. Submit