Dealership Information
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.
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.
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.
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.
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.
Hidden
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.
Vehicle Makes
Hidden
Please list ALL makes sold, even if they are part of the dealership's name.
Please list ALL makes sold, even if they are part of the dealership's name.
Must be an individual with signing authority on behalf of the dealership.
Applicant Questionnaire
Electric vehicles (EVs) are any vehicles that can be plugged in.
Hidden
Please use the space below to state them.
Program Terms and Conditions
You must be an OEM-certified EV dealer in California, Illinois, Massachusetts, Missouri, New Jersey, or Colorado to participate in this program.
-Assign at least two experienced sales staff as EV specialists
-EV specialists must complete PlugStar Certification 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)
-Support local EV events with vehicles and staff as best able
-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 (if available), is contingent upon compliance with the terms above. By checking this box, the applicant agrees to these terms.
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.
To re-enter your signature, click the refresh button on the bottom right of the signature block outline above.
New Jersey Program Payment
First 5 dealers in PSE&G's service territory and first 5 dealers in Atlantic City Electric's service territory receive $1,000 off. This discount will be reflected on your invoice. We will contact you regarding payment.
Plug In America - Check Payment
You will be invoiced by Plug In America's Finance Department for the final amount owed within 2-3 business days. Once you have received the invoice, you are required to make the full payment within 7 days of the invoice date.
Mail check to:
Plug In America
Attn: Finance Department
1270 S. Alfred St.
No. 351268
Los Angeles, CA 90035
Credit Card Payment
After your application has been reviewed, a program representative will contact you for credit card payment.
Plug In America Electronic Funds Transfer (EFT/ACH)
Payor Direct Deposit Authorization Form Authorization: Plug In America authorizes the Payor mentioned below to initiate deposit electronic transactions and credit entries by ACH or EFT to deposit any owed amount invoiced by Plug In America directly into the bank account indicated below. Plug In America authorizes its Financial Institution to post these transactions to its bank account. This authorization is specific only to deposit type transactions and not any other type of transactions. Plug In America does not authorize any fees to be deducted to process these ACH/EFT transactions. This authorization is to remain in force and effect until Plug In America sends written notification to Payor to cancel or change this authorization. Each time a payment is made, please send notification to the email address listed below. Plug In America Contact Information: Plug In America Attn: Finance Department Address: 1270 S. Alfred St. No. 351268 Los Angeles, CA 90035 Tel: (323) 372-1236 ext 020 Email: aabou-ismail@pluginamerica.org Financial Institution: Bank: Wells Fargo Bank Bank Address: 6301 Wilshire Blvd. Los Angeles, CA 90048 Bank Telephone Number: (800) 225-5935 Plug In America Bank Account Information: Account Name: Plug In America Account Number: 8759509006 Routing Number: 125008547 Account Type: Checking
To re-enter your signature, click the refresh button on the bottom right of the signature block outline above.
MM slash DD slash YYYY
