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Free Estimate Form

Thomsen Electric

When you have completed this form, print a copy for your records and
then click the "Submit Request" button at the bottom of the page.
Please fill in the following as it applies to your project.

Scope of Work
Service Call Request Yes No

Scope of Work

Ceiling Fan Installation Yes No
Check those that apply to your fan:
Fan Replacement or existing opening
New ceiling opening required Attic above (check one) No attic above
Ceiling height 12' or less (check one) Ceiling height 12' or more
Fan to be controlled by:
Remote or pull chain Wall switch
Duo-dehummer switch (for use with fan/lights)

First Name *
Last Name *
City, State Zip
E-Mail *
Day Time Phone
Evening Phone
Fax

Additonal Information:


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Wiring Thomsen Electric 31632 N. Ellis Suite 212 - Volo, IL 60073
Phone: 847.223.1207 - Fax: 847.223.1249

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