Are you a former Shell Recharge customer?

50five charging drop needed?

Please fill out the form below.

Form.

Onderwerp *

Source *

Partner entity

Legal entity 50five *

Job type *

Charge Card

Salutation *

Please select from the following: Sir, Madam.

Your first and last name *

Email address *

Phone number *

Street name and house number *

Addition

Zip code *

Place *

Company name

If it concerns a business application.

VAT number

If it concerns a business application.

Would you also like a 50five subscription with the charging drop? *

Yes

No

I don't know

Do you charge your car more than eight times a month? Then a 50five subscription is more cost-effective. Without a subscription, you'll pay higher setup fees.

Do you already have a 50five or South Holland charging card or charging trickle? *

Yes

No

Staat er op uw adres een actief laadstation van 50five? *

Yes

No

I don't know

If there is an active 50five charging station at your address, the requested charging trickle will automatically be linked to the account associated with the charging station.

Comments

Are you a former Shell Recharge customer? *

No

Yes

Were you a Shell Recharge customer and has your charging station been transferred to 50five's charging management?

Declaration of correctness of entered data *

I hereby declare that I have completed this form truthfully.

Agreement to application costs *

I agree to the costs of €7.95 incl. VAT for this request (including charging card and shipping). After the request has been submitted, it will be processed and the amount will be included on the next subscription invoice.

Data processing *

JYes, I agree to the use of personal data and its sharing with the billing party, Threeforce BV, in accordance with the 50five privacy policy and the terms and conditions for the 50five charging card and charging trickle.

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