South Charlotte Services Free Lighting Request Form

Light Fixtures Installation Request Form

Please be as accurate as possible when filling out form.
Based on the provided information, we will prepare a digital estimate for your project, which will be sent to you via text and email. Should any questions or concerns arise during the estimation process, we will contact you directly before sending the estimate. Once you have reviewed and approved the estimate, we can promptly schedule your installation for the next available slot or your preferred installation date. It's important to note that our scheduling operates on a first-come, first-served basis, so securing your desired dates as early as possible is advisable. We appreciate the opportunity to assist you and wish you a wonderful day ahead.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
How many light fixtures need to be installed? *
Ex: 4 light fixtures, 2 pennant lights, 3 vanity lights and 2 outdoor flood lights and 1 ceiling fan.

Light Fixtures Installation Request Form