Book in your Site Assessment Assessment Form Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone Number *Best number to reach you onEmail *Email for appointment settingProvince *AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPick your ProvinceCity/TownTo best find a local partner ElecricianWhat type of installation are you looking for *Retail BusinessApartment or CondoResidentialMultiple sitesOtherName of peferred ElectricianName of Electrician that referred you to us OR If you have a regular Electrician you wish to utilize. Business Name (if applicable)Business name for billing purposesAlternative Contact name and phone number ONLY if someone else will be present for Site Assessment appointment How qickly would you like the Site Assesmment completed *In the next few daysWithin the WeekMore than a weekHave you looked at the Provincial and or Federal Funding potentially available to you? *YesNoSubmit
