Name

First Name

Last Name

Phone Number

(###)

###

####

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email is our preferred method of communication to better be able to track jobs, but we will try to accommodate any other preferred methods of our clients - if text or phone is best for you, let us know!

Preferred time(s) to contact you

Weekday Mornings

Weekday Afternoons

Weekday Evenings

What would you like to schedule?

Please give us a brief overview of the work you need done

When you are hoping to have this work completed?

Please let us know what work is high priority, or if any of this work will be done in coordination with other contractors you have working in your home!

Location where work will be done (leave blank if same as billing)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Type of location:

Type of house

If you selected other please explain

Floor location of work

Approximate height of ceilings in work location

Will you be providing any fixtures or materials?

Yes

If you wish to provide materials please list them below

If there are any specific materials you wish us to provide?

Please list items and any specifics (color of device, style of switch) below -- if looking for direct replacements, feel free to email pictures of any dimmers/fixtures/bulbs to us once you've completed this form and we'll do our best to source the right products for you!