Service Request Form

Please fill out this form completely to request electrical services.

Name:

Email:

Phone:

Street Address

City

State

Zip Code

Type of Service Needed

Electrical Installation

Electrical Repair

Lighting Installation/Repair

Circuit Breaker Replacement

Other

New Field

Preferred Serivce Date

Preferred Service TIme

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We have locations in Lincoln and Grand Island however, we service all areas in Nebraska, so give us a call.

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