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Customer Contact Questionaire
Please fill out the form below and a member of our staff will contact you as soon as possible.
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* Indicates required question
Hi, please introduce yourself. (First & Last Name)
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Your answer
What phone number can we reach you at?
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Your answer
What is the best time for us to contact you ?
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Time
:
AM
PM
What email address can we contact you at? (This is to provide quotes, invoices/receipts and project details)
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Your answer
Please provide a brief description of the nature of the services you require.
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Your answer
Do you currently have any concerns over safety as it relates to the electrical services you require?
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Yes, I need something tested and/or repaired as soon as possible.
No, everything seems to be working fine, I need an electrician for a small job.
Maybe. A professional opinion would be greatly appreciated.
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