Dublin City Council E-Cargobike Supports

Dublin City Council E-Cargobike Supports
Dublin City Council is supporting businesses and non-profit organisations by offering subsidised long-term trials of electric cargo bikes. Please complete the form below to apply for E-Cargobike Supports from Dublin City Council. You can expect a response to your application within one working week.
1. Business/Organisation Name:
2. Applicant Name:
3. Email Address:
example@example.com
3. Contact Number:
4. Are you applying as a business or a nonprofit organisation? *

BusinessNonprofit
5. Website (if you have one):
6. What does your business/organisation do?
7. Where did you hear about the e-cargobike supports scheme?

Social Media / OnlineNews MediaWord of MouthHeard via Dublin City CouncilHeard via BleeperOther
8. Does your business/organisation have a premises within the functional area of Dublin City Council?*

YesNo
Please enter your address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
9. Do you have a secure, off-street location for storing the cargo bike? *

YesNo
10. Do you agree to participate in monitoring and evaluation, including geo-tracking, completing feedback surveys and any other form of information gathering that may increase the information contribution of this project?*

YesNo
11. Please use the space below to tell us why you are applying to this e-cargobike support scheme?
12. Do you understand the e-cargobikes are meant for carrying goods only andare not intended for passengers

YesNo
Signature

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