Service Request


*required

First Name: * Last Name: *
Address: *
Suburb: *
Home Phone: Work Phone:
Mobile Phone:
E-mail: *
What Electrical Service are you requesting:
Choose an appointment day:
Choose an appointment time slot:
Prefered contact method:
Our dispatch dept will call you to let you know that your technician is on the way and to confirm you are home.
How did you find out about us: