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Blitz Elektro Service 24/7
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Intake form
Help us serve you better
Name
*
Email address
*
Phone number
Location
Type of electrical issue
Please select at least one option.
Power outage
Short circuit
Flickering lights
Electrical surge
Outlet issues
Wiring problems
Appliance malfunction
Preferred contact method
Select
Phone
Email
Availability for service appointment
Select
Immediately
Within 24 hours
Within a week
How did you hear about us?
Select
Google
Social media
Word of mouth
Local advertisement
Additional questions or comments
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