Bull Shoals Electric
Service Request
Name
*
First Name
Last Name
Phone Number
*
Email
example@bullshoals.com
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is Billing Address Same as Service Address?
Yes
No
Requested Service Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please select day service is requested.
*
-
Month
-
Day
Year
Please be aware that time of service is based on call volume and availability. A member of our team will reach out to you to verify scheduling.
Time of Day
Morning
Mid-Day
Afternoon
*After Hours (Overtime Rates May Apply)
What Types of Services are Requested?
New Installation of Equipment / Fixtures / Services
Service for the Repair or Replacement of pre-existing items
Request for Quote
**Emergency - After Hours Service** (Overtime Rates May Apply)
Please give a brief description on how we can help.
*
Please take photos, if possible, of the area(s) you have described above. This helps tremendously in determining the best steps in providing efficient and quality service.
Submit
Should be Empty: