LIC. # 872782
Business Phone: (951) 965-1014
Business Fax:
(951) 514-2517
Business Email:
info@directelectricco.com
Business Hours: 7:00am to 5:00pm mon-
fri
pst
Allow up to 24 hours for
response, business days
Estimate-Information Request Form
Full Name:
Project Address
Email Address:
City & Zip
Phone:
Expected Start Date:
Evening Phone:
Expected Completion Date:
Fax:
Are you the property owner:
YES
How did you hear of us?
NO
Preferred method of contact:
Description of Project:
Email
Please give complete details
Phone
Evening