ElectriPros
Hampton Roads Licensed TV Mounting Specialists
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Your Name
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First Name
Last Name
Company Name
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Phone Number
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Best contact number
Format: 000-000-0000.
E-mail
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Confirmation Email
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How did you hear about us?
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Craigslist
Facebook
HomeAdvisor
Yelp
Google
www.ElectriPros.net
Thumbtack
Chantel Ray Real Estate
Word of Mouth
Other
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Tell Us About Your Project
What is the status of your project
*
Ready to Hire
Planning & Budgeting
How many TVs do you need installed?
*
Please Select
1
2
3
4
5
6
7
8
9
10+
What Size is/are you TV(s)?
*
Example: 40", 55", and 32"
TV Size(s)
21" - 39"
40" - 46"
47" - 50"
51" - 59"
60"+
Other
Please select the type of installation:
*
Regular Drywall / Plaster Installation (Normal)
Fireplace Installation (TV above Fireplace)
Recessed Installation (Flush w/wall)
Other
Please select the type of wall material at the installation site:
*
Drywall / Plaster
Brick
Concrete
Other
Is there an electrical outlet located within 10 feet of the TV mount?
*
Yes
No
Other
Upload a photo of where you need your TV installed and the nearest electrical outlet location
Upload a File
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Do you need additional electrical outlets installed near your TV?
*
Yes
No
How many?
How will you conceal your wires?
*
None (wires remain exposed outside wall)
Wiremold (wired neatly dressed and concealed on exterior wall)
In Wall (wires are concealed inside wall)
Do you have additional devices to connect to the tv?
Yes
No
How many devices?
Describe devices to install
PS4, DVD, Cox Contour Cable Box
Do you already have your mount?
Yes, I already have my mount
No, I need my installer to provide me one
Describe the make/model of your TVs.
What type of tv mount will be used?
*
Please Select
Flat Mount (Stationary)
Tilt (moves up/down)
Swivel (moves left/right)
Articulating (Moves up/down/left/right)
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Service Location Details
Location Address
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Street Address
Street Address Line 2
City
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Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Is the location address the same at the billing address?
*
Location address is the same at the billing address
Location address is NOT the same as the billing address
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
When would you like your project to be completed?
*
ASAP
Within 7 days
Between 1- 2 weeks
2+ weeks
Other
Pre-schedule your appointment
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How will you pay for your services once completed?
*
Cash
Check
Charge (3.5% convenience fee will apply)
PROMO CODE
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