Request Service Call

REQUEST SERVICE CALL

To request a service call, please fill out the form below. For emergency services, please call our office at (562) 424-0039.

* Indicates required field

Contact Name *

First

Last

Company Name *

Email *

Contact Phone Number *

Service Required Date *

Date

Company Address *

Line 1

Line 2

City

State

Zip Code

Country

Is This An Emergency Service? *

Yes No

Service Required *

Electrical Repairs Equipment Installation Lamp/ Blast Repairs Motor Control Work Troubleshooting Other

Select all that apply.

Scope of Work/ Electrical Service Needed *

Attach File/ Drawings *

Max file size: 20MB

Customer Type *

New Customer Current Customer Previous Customer

How Did You Hear About Us *

Web Search Word of Mouth Job Walk Other

If Other, Please Explain *

Submit

1403 E. 28th Street, Signal Hill, CA 90755
[email protected]
562.424.0039