Red Electric Work Order

Red Electric Contact Form

Contact Information
Name
Job Address Where Work will be Performed	Street Address
Job Address Where Work will be Performed	City, State & Zip
Contact Information (Name & Phone Number of Contact)	Name
Contact Information (Name & Phone Number of Contact)	Phone
Billing Address (if different from above)	Street Address/PO Box
Billing Address (if different from above)	City, State & Zip
Work Information
Type of Work (you can select more than one)	Repair Residential Commercial Other
Brief Description of Work
Date Work Needs to be Completed by
How did you hear about Red Electric?	Repeat Customer AM Radio NPR Yellow Pages Recommendation Other

Phone: (706) 613-1008