Installations First Name(Required) Last Name(Required) Company Name Email(Required) Phone(Required)Address(Required) Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Can You Describe the Specific Electrical Issues or Projects You'd Like Us to Address? Are There Any Specific Areas or Rooms Where You're Experiencing Electrical Problems? Are There Any Specific Expectations, Features, or Aesthetic Preferences You Would Like to Include in the Electrical Work? Which Day Would Be Best for an Assessment of the Work?(Required) Are There Any Specific Dates or Deadlines We Should Be Aware of?(Required) Is There Access to the Areas Where Work Needs to Be Performed? (Items Will Need to Be Moved to Meet a 3’ Working Space and 3’ Wall Space Around Electrical Equipment for Any Inspections) Are There Any Restrictions or Limitations We Should Be Aware of, Such as Pets or Specific Working Hours? Are You Aware of Any Permits That May Be Required for the Proposed Electrical Work? In Case of Emergencies, Who Should We Contact, and What is the Best Way to Reach Them? What Type of Residence is It (Single-family Home, Townhome, Apartment, Condominium)?(Required) When Was the Home Built or Last Renovated?(Required) What is the Total Square Footage of the Home? How Many Stories Does the Home Have? Is There an Attic With Access? Is There a Basement or Crawlspace? What is the Amperage of the Electrical Panel? Are There Any Known Electrical Upgrades or Modifications in the Past? Are There Specific Lighting Fixtures or Types of Lighting You Would Like to Include? Are There Any Major Appliances or Electronic Systems That Require Dedicated Circuits? Do You Have Important Electrical Devices That Require Uninterrupted Power? (Wi-Fi for Work From Home, Heart Monitors, Oxygen Tanks, Elevators, Computer Server Hosting, Fish Tanks, and Other Pet Care Systems, Etc.) Is There a Need for Temporary or Permanent Emergency Backup Power Solutions (Generators, Battery Backups)? NameThis field is for validation purposes and should be left unchanged.
