Beta Tester Questions -

First Name *

Last Name *

Email *

1. How many miles a week do you currently drive? *

eg: 200

2. In your normal weekly driving, how often would you pass within 5 miles of the refueller at Abergavenny? *

3. As the trial progresses we expect to iron out early faults and may introduce upgrades into the cars, so we would like to know your preference: *

I would de delighted to be one of the very first testers

I would prefer to participate later in the trial

4. Do you have any particular areas of expertise which you could bring to the trial? This is not a requirement - it's just interesting to know. [tick all that apply]

Previous testing experience

Technical/engineering

Service

Other [ please elaborate] Other [ please elaborate]

5. Please tick any months that you are NOT available to test the Rasa (for example, away on holiday) *

6. Please provide a contact telephone number *

Thank you.

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