Electrical Wiring Pros Work Order Request

Thank you for choosing Electrical Wiring Pros, Inc. Please fill out the below form. By submitting this request, you hereby agree to the following terms and conditions. Electrical Wiring Pros is not responsible for the following, including but not limited to, patching or painting of finished surfaces, permit fees, engineering fees and unforeseen conditions. For our W9 and service call price list, please email carlos@electricalwiringpros365.com

Date

Company name (If Applicable)

Customer Name Authorizing Work

Service Address

Suite / Unit

City

State

Postal / Zip Code

Phone

Priority

Low

Medium

High

Emergency

Building Access Instructions (If Applicable)

Discription

To assist us in evaluating your needs, please share any pictures of the problem areas or planned electrical projects.

New Customer Form (If Applicable)

Legal Customer Name

C / O (If Applicable)

Property Management Company (If Applicable)

Multi-line address

Country/Region

Address

City

Zip / Postal code

Suite / Unit

"Bill To" Address (If Applicable)

Name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Suite / Unit

Contact Name

Phone

Invoice Submission Email Address

Notes

By signing the below, Electrical Wiring Pros, Inc. is hereby authorized to submit invoices for electrical services provided to the above-mentioned customer. The customer agrees to make payment to Electrical Wiring Pros no later than thirty (30) days from the date of the invoice. you can reach our accounting department at carlos@electricalwiringpros365.com or (626)551-6810

Signature

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Date