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Dealership Information

In which state are you a licensed auto dealership?*

CA
MA
NJ

What region do you serve?*

Los Angeles
San Diego
Sacramento

Name of Dealership or Retail Point in Los Angeles*

If you operate more than one store, please select just one option from the dropdown list. You can indicate additional makes sold at this location in the form below. A separate application will be required for any additional stores operating at a different physical location.

Name of Dealership or Retail Point in San Diego*

If you operate more than one store, please select just one option from the dropdown list. You can indicate additional makes sold at this location in the form below. A separate application will be required for any additional stores operating at a different physical location.

Name of Dealership or Retail Point in Sacramento*

If you operate more than one store, please select just one option from the dropdown list. You can indicate additional makes sold at this location in the form below. A separate application will be required for any additional stores operating at a different physical location.

Name of Dealership or Retail Point in New Jersey*

If you operate more than one store, please select just one option from the dropdown list. You can indicate additional makes sold at this location in the form below. A separate application will be required for any additional stores operating at a different physical location.

Name of Dealership or Retail Point in Massachusetts*

If you operate more than one store, please select just one option from the dropdown list. You can indicate additional makes sold at this location in the form below. A separate application will be required for any additional stores operating at a different physical location.

Dealership Name

If you operate more than one store, please select just one option from the dropdown list. You can indicate additional makes sold at this location in the form below. A separate application will be required for any additional stores operating at a different physical location.

Enter Your Dealership Name*

Vehicle Makes

What makes do you sell at your store?*

Please list ALL makes sold, even if they are part of the dealership's name

Dealership Address

Street Address Address Line 2 City State ZIP

Name of the Approving Authority*

Must be an individual with signing authority on behalf of the dealership.

First Last

Title of the person named above

Dealership Phone (Main)

Contact person's name*

First Last

Contact person's title or role

Contact Phone (Cell)

Contact Email*

Applicant Questionnaire

1) How many total new vehicles has your dealership sold over the last 12 months?*

Please enter a value less than or equal to 9999.

2) How many total new EVs has your dealership sold over the last 12 months?*

Electric vehicles (EVs) are any vehicles that can be plugged in.

Please enter a value less than or equal to 9999.

3) What is the total # of sales staff at your dealership?*

Please enter a value less than or equal to 9999.

4) How many of these sales staff sell plug-in vehicles?*

Please enter a value less than or equal to 9999.

5) Are all of the sales staff who sell plug-in vehicles at your dealership trained to sell electric vehicles?*

Yes
No

How would you rate support for plug-in cars from top management at your dealership?

6) What percentage growth in EV sales would you like to see at your dealership over the next 12 months?

Please enter a value less than or equal to 9999.

7) Please share any additional goals or other information related to plug-in vehicles.

Please use the space below to state them.

8) By checking this box I signify that we are a manufacturer-certified EV dealer.*

You must be an OEM-certified EV dealer in California, Massachusetts, or New Jersey to participate in this program.

Yes

9) Dealers acknowledge the following program requirements:*

-Assign at least two experienced sales staff as EV specialists
-EV specialists must complete advanced PlugStar training and maintain their standing with periodic refresher training
-All other sales staff may complete basic in-dealer PlugStar training (typically an hour or less in duration)
-Follow the required process for submitting claims for utility-funded sales incentives and for disbursing any required portion of the incentive to the responsible salesperson (if applicable)
-Support local EV events with vehicles and staff as best able
-Share EV inventory and pricing information with Plug In America in a timely manner and on at least a monthly basis until automated
-Dealer agrees to notify customers of the glovebox PlugStar EV Welcome Package during delivery, but no later than three days from vehicle delivery
-Ensure a hassle-free buying process for EV shoppers and resolve customer issues in a timely manner

Continuation in the program, including eligibility for utility-funded dealer incentives, is contingent upon compliance with the terms above. By checking this box, the applicant agrees to these terms.

Yes

10) Acceptance by Plug In America grants participating dealers a limited license to use its training material and resources for the purpose of the program only. By checking the box below you acknowledge the terms herein and agree to comply with the requirements set forth for the duration of the program or until December 31, 2019, whichever is sooner.*

Utility-funded dealer incentives for EV sales (where available) are disbursed as funds are made available to Plug In America. In the event of a funding shortfall and where replenishment of funds is anticipated, Plug In America reserves the right to maintain a wait-list with the goal of disbursing funds in the order of the date of sale.

Yes

11) For San Diego based dealerships, sales incentive eligibility is contingent upon active NCDA of San Diego membership in good standing and sale of an EV to SDG&E customers that choose an eligible EV rate. By checking the box below you acknowledge and accept these terms.*

Yes

Signature

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Dealership Information

Vehicle Makes

Applicant Questionnaire

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