Nissan Dealership Order Form

Dealership Name * Dealership Name *Eurost Auto TallinnEurost Auto PärnuFakto Auto TallinnAutospirit Tartu

Email Address *

Pulsar Plus 7,4kW Type 1 (Leaf 2017, e-NV200) Pulsar Plus 7,4kW Type 1 (Leaf 2017, e-NV200) Include pedestal Include Cable Holder

AMOUNT: Pulsar Plus 7,4kW

Charger Charger Pulsar Plus 7,4kW Type1 (Leaf 2017, e-NV200) Pulsar Plus 22kW Copper SB, 22kW Commander 2, 22kW

Dynamic Load Management Equipment Dynamic Load Management Equipment Power Boost Clamp (1 phase) Power Boost 1 phase Power Boost 3 phase

Accessories Accessories Wallbox Pedestal Cable Holder

Installation Service Installation Service Yes No

Customer Country Customer CountryEstoniaLatviaLithuania

Customer City

Customer Postcode

Customer Address

Customer Name

Customer Mobile Number

Campaign Name Campaign NameNone

Additional comments (specify quantities or other info)