MaxxCharge Event Details Contact name at Event(Required) First Last Contact phone number at eventEmail(Required) Business or Event Name(Required) Location Name Address(Required) Street Address City State / Province / Region Delivery Date(Required) MM slash DD slash YYYY Delivery Time(Required) Hours : Minutes AM PM AM/PM Pick Up Date(Required) MM slash DD slash YYYY Time(Required) Hours : Minutes AM PM AM/PM Map UploadMax. file size: 8 MB.Please upload a Map of the detail of locations of units and where they should be positioned. is there a clearance code ?(Required) Yes I will provide one below No just drive up Clearance Code if required Please provide Dock or Bay Number(Required) Please provide any additional comments or requests Δ