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Terms and conditions
Request new charger
Attention: We only handle requests for chargers in the Brussels Capital Region.
Step 1 of 3
Please first give some more information about yourself.
Street & n°
Please provide some more information about your vehicle below.
Type or model of your vehicle
Brand of your vehicle
Drop files here or
Accepted file types: jpg, pdf, png.
Upload a recto-verso copy of the registration certificate of your vehicle here or add a signed order form, which shows that it is a 100% electric vehicle. (max 5 files of max 1MB each)
Date Format: DD dash MM dash YYYY
If you have ordered a new car, you can indicate the estimated date of delivery here. Please take into account a minimum period of 3 months between request and realization of the charging station.
Thanks for going through all the steps. You can submit your application below. We will get to work as soon as possible to deal with your question.
The application concerns a 100% electric vehicle
I agree that my data will be used to process my request for a charging station. I also declare that I have read and accepted the general terms and conditions.