Tesla Charging Station First & Last Name* Job site address* Phone Number*Email Address you want the proposal sent to* Referral Source:*Tesla WebsiteGoogleMAC WebsiteAngie’s ListRepeat CustomerWord of MouthOtherCar Model* Battery Type (Example: 75kwh)* Wall Connector or NEMA Receptacle*Wall Connector (Supplied by customer)NEMA RecptacleElectrical Service Size*NOTE: You will find this on your "main breaker" which is located at the top of your main panel. IF it is NOT there, it will be located on your Electric Meter on the exterior of your house. Please open the meter box to find the electric breaker which should say "100" "150" "200" etc. and that is your service size. Main Panel Location*GarageBasementExterior of homeMain levelOtherPlease choose exterior side:*North side of homeSouth side of homeEast side of homeWest side of homeIf other, please describe:* Sub Panel Location*GarageBasementExterior of homeNA- Do not have Sub-panelOtherIf other, please describe:* Ideal Charging Location*South wall of garageNorth wall of garageEast wall of garageWest wall of garageOtherIf other, please describe:* Approximate distance from Ideal Charging Location to Panel (In Feet)* Describe the location of your panel in relation to the charging location I.e. Our panel is located on the West exterior side of our home and it shares a wall with the charging location. The meter is on the South end of the West wall and the charging location is on the North end of the West wall Picture of Panel Breakers*Accepted file types: jpg, jpeg, png, gif.Picture of Panel Schedule*Accepted file types: jpg, jpeg, png, gif.Picture of Panel Location stepping back to show surroundings*Accepted file types: jpg, jpeg, png, gif.Picture of Charger Location stepping back to show surroundings*Accepted file types: jpg, jpeg, png, gif.Additional info you would like to share with us: CAPTCHANameThis field is for validation purposes and should be left unchanged.