Home Order and Estimate Form - Tannelectric.com - outdoor landscape lighting

Items marked with a (*) are REQUIRED.

I would like a phone call before receiving an on-site visit.

*Choose what you need done:

Switches, Outlets, and Lights

Outlets or Switches

Exterior / Landscape Lighting

GFCI Outlets

Recessed Lighting

Light Fixture

Track Lighting

Other

Add Fix

Add Fix

Add Fix

Add Fix

Add Fix

Add Fix

Ceiling Fans

Ceiling Fan

Other

Add Fix

Panel Box

Circuit Breakers

Fuses

Something Sparking

No Power / Partial Power / Troubleshoot

Aluminum Wiring RepairService / Panel Upgrades

100A Service Upgrade

200A Service Upgrade

400A Service Upgrade

Other

Add Fix

Add Fix

Appliance Circuits

Dryer Outlet

Range / Stove Outlet

Furnace or A/C

Attic Fan

Other

Add Fix

Add Fix

Add Fix

Add Fix

Lightning Strike/Surge

Lightning Strike

Something Sparking

No Power / Partial Power / Troubleshoot

Other

Remodels

Kitchen

Bathroom

Basement

Whole House

Other

Standby Generators

Stand-By Generator

Generator / Transfer Switch

Other

Add Fix

Add Fix

Backyard

Hot Tub

Pool

Fountain

Other

Add Fix

Add Fix

Add Fix

Voice / Data Cabling

Voice / Data Cabling

Cable TV

Other

Add Fix

Add Fix

*Brief Discription:

JOB SITE:

*Name:

*Address:

*City / State / Zip Code:

*Billing Contact / Title:

*Email:

*Home Phone:

Cell Phone:

*Work Phone:

Fax:

BILL TO:

Same as job site

Name:

Address:

City / State / Zip Code:

Billing Contact / Title:

Email:

Home Phone:

Cell Phone:

Work Phone:

Fax:

Job P.O.:

*Has Tann served you before?	Yes No Not Sure
*Is this an emergency?	Yes No Not Sure
*When would you like this done?	Open Specific Date
Month / Day / Year
A.M. or P.M. ?	AM PM
*How did you hear about Tann?
*Method of Payment?

Order Online or Call
KS: 913-236-7337
MO: 816-361-7337

Find Job Opportunities at Tann.

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