Restaurant Order or Estimate FormTann Electric Thank You!
Restaurant Order or Estimate Form

 

Items marked with a (*) are REQUIRED. 

*

*

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

*Choose what you need done:

 

Signs

Fluorescent

Neon

LED

Replace Ballast

Other


 

Add Fix

Add Fix

Add Fix

Kitchen

Outlets or Switches

Kitchen Equipment

Furnace or A/C

Replace Ballast

Other


 

Add Fix

Add Fix

Add Fix

Parking Lot

Pole Light

Other Exterior Lighting

Replace Ballast

Other


 

Add Fix

Add Fix

Dining Room

Interior Lighting

Outlets or Switches

Furnace or A/C

Replace Ballast

Remodel

Other


 

Add Fix

Add Fix

Add Fix

Voice / Data

Phone Drop/Outlet

Cat5e / Data Drop/Outlet

Other

 

 

Add Fix

Add Fix

Back-Up Power

Stand-By Generator

Generator / Transfer Switch

Uninteruptable Power Supply (UPS).

Other

 

 

Add Fix

Add Fix

Add Fix


Panel Box

Circuit Breakers

Something Sparking

No Power / Partial Power / Troubleshoot

Service Upgrade or Change

Other


 

Add Fix

Lightning Strike/Surge

Lightning Strike

Something Sparking

No Power / Partial Power / Troubleshoot

Other

 

*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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