AmbuEnergy Subscription

Subscribe to receive Electric vehicle related offers from AmbuEnergy.

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Postal Code *
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Please provide your home postal code (without space or dash) so we can send you offers available within your area as some offers may not be available in your province/territory.
Permission *

Permission I give my consent to receiving online communications from AmbuEnergy related to promotions, offers, coupons and all other related content. I am aware that I may withdraw my consent at any time by sending an email to info@ambuenergy.com or by mail at Privacy Officer, 4-465 Milner Ave., Toronto, ON M1B 2K4.

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Vehicles

(check all that apply for the household)
1) How many vehicles (any fuel type) are in your household?

1) How many vehicles (any fuel type) are in your household? 0 1 2 3 4 5+
2) Do you or anyone in your household currently own/lease any electric vehicles? (including hybrid, plug-in hybrid and all-electric) *

2) Do you or anyone in your household currently own/lease any electric vehicles? (including hybrid, plug-in hybrid and all-electric) All-Electric Plug-in Hybrid Hybrid No

Check all that apply.
3) How do you or your household recharge your electric vehicle(s)?

3) How do you or your household recharge your electric vehicle(s)? At Home (Level 2) At Home (Level 1) At Home (NEMA Plug) Workplace Charger (L2/L3) Public DC Fast Charger (Level 3) Public AC Charger (Level 2)
3) If your household is considering the purchase or lease of any vehicles, what type(s) of vehicle are being considered?

3) If your household is considering the purchase or lease of any vehicles, what type(s) of vehicle are being considered? All-electric Compact Crossover Hybrid (non plug-in) Luxury Mid-size Mild hybrid (48V system) Minivan Plug-in hybrid Sport coupe SUV Other

Check all that apply.
Would you like to receive offers by mail? *

Would you like to receive offers by mail? Yes No

Postal address required if you would like to receive offers by the mail.
Street Address *
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Province *
Thank You

Thank you for taking the time to complete this questionnaire. If you are qualified to receive Electric vehicle related offers, you will receive the materials in the mail (if postal address provided) and/or email.

Please submit your questionnaire by clicking the Submit button below once.

Sincerely, AmbuEnergy Team

AmbuEnergy Subscription

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Vehicles

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