Service Request – Copperstate Industrial Installations, Inc.

Request Service Today!

At Copperstate, we value our existing clients and are committed to providing you with exceptional service for all your commercial and industrial electrical contracting needs. Whether you require electrical installations, maintenance, repairs, or upgrades, our experienced team is here to assist you every step of the way.

To ensure that we continue to meet and exceed your expectations, we kindly request you to provide us with some essential information through this intake form. Your responses will help us better understand your specific requirements and enable us to deliver tailored solutions that align with your business objectives.

About Your Company

Company Name(Required)

Contact Name(Required)

First Last

Company Address

Street Address Address Line 2 City State ZIP Code

Are You a New Customer?(Required)

Yes

How Can We Reach You?

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Phone(Required)

Best Time to Call You(Required)

Project/Job Description

Project Title(Required)

Are you the General Contractor on the project?(Required)

Yes

General Contractor Name(Required)

Briefly describe the project or electrical work you require assistance with. This may include installations, maintenance, repairs, or any other specific requirements you have.(Required)

Project Timeline: Indicate the desired start and completion dates for your project, or if it's ongoing maintenance, please let us know the frequency of service required.(Required)

Site Information: Provide the address of the location where the electrical work will be conducted.

Street Address Address Line 2 City State ZIP Code

Billing Address Information:(Required)

Street Address Address Line 2 City State ZIP Code

If there are any additional details or specific considerations we should be aware of, please include them here.

Please let us know what's on your mind. Any specifics about the job in mind, please let us know here. Have a question for us? Ask away.

Your Comments/Questions

Phone

This field is for validation purposes and should be left unchanged.

Once you have completed the form, our team will review your information and get in touch with you promptly to discuss your requirements further. We value your time and strive to provide you with the best solutions tailored to your needs.

Thank you for choosing Copperstate as your trusted commercial and industrial electrical contractor. We look forward to serving you and helping you achieve electrical excellence for your business!

If you have any immediate questions or concerns, please don’t hesitate to reach out to our customer support team at (602)-342-5314 or services@copperstateind.com

Warm regards,

The Copperstate Team