Name
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First Name
Last Name
Company (if applicable):
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Preferred contact method
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Phone Call
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Email
Address
*
Street Address
Street Address Line 2
City
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How did you hear about us?
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Please describe your electrical project or upgrade request:
*
What is the location and accessibility of your main electrical panel?:
*
e.g., "In the unfinished basement, along the north wall" or "inside the garage, behind stored boxes."
Please describe the location of your exterior electrical service (meter base, weather head, etc.) and their proximity to the indoor panel:
e.g., "front left corner of the house", "pole-mounted near the driveway", or "25 feet away on the opposite side of the main electrical panel location."
Please describe your general availability for scheduling purposes:
e.g., "Mondays and Wednesdays after 1 PM" or "any weekday morning."
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