CSOF (AG SoSimply)

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Charging Services Order Form (AG/SoSimply)

Step 1 of 4

25%

CSOF

Email*

General terms and conditions*

I have read and accepted the terms and conditions*

General terms and conditions

I have read and accepted the privacy policy*

Charging station user data

First name*

Last name*

Master number AG*

It was agreed with your employer that your master number will appear as the charging station’s name for further follow-up.

Mobile and/or landline phone number*

Mobile and/or landline phone number of the user of the charging station as a contact reference in case of problems with the charging station.

Charge Box ID

Please fill in your Charge Box ID at the next question. This unique combination of letters and numbers can be found on your charging device.

E.g. NRGkick Smart Cable (Charge Box ID = Serial Number: T… )

E.g. Alfen charging station

Charge Box ID*

Charging device identification number: Can be found on the charging device. You can ask the installer for help to find this number.

Date of installation of the charging station/receiving the charging cable*

Address of the charging station

Street

Optional i

House number

Optional i

Postal code

Optional i

City / Town

Optional i

Charging card account/MSP account

The registration of the data below will make it possible to charge both privately and publicly. The registration of your charging card will also ensure that your private charging sessions are reimbursed by your employer. After registration you will also be able to consult all your charging sessions on the Mobiflow platform.

First name

Optional i

Last name

Optional i

PROFESSIONAL email address

Optional i

Visual charging card number / Card ID*

You can find the identification number of the charging card on the back of the charging card. You will receive the charging card from the installer in case of a fixed charging station or it will be included with the Smart Cable. E.g.: BE-MBF-XXXXXXX