Service Project - Waukesha Electric Systems

Emergency Service
Available 24/7/365:
888-365-24X7
(thats 888-365-2497)

SERVICE PROJECT INQUIRY FORM

Please provide as much information as possible so we can best respond to your needs.

*NAME:
*TITLE:
*COMPANY:
*ADDRESS:
*CITY:	*ST: *ZIP:
*PHONE:
*FAX:
*E-MAIL:
	* required fields

What is your timing need on this request?
	Immediate
	Next few weeks
	Next few months
	Specific date range - please specify:

Address and location of equipment (substation, remote location or other company divisions) :

Equipment Type (i.e. Transformer, LTC, etc.) and description including manufacturer, model and, if applicable, serial no., voltage and vintage (if available):

Briefly describe desired services and/or problem you are experiencing:

Recent test results, if available (types of electrical tests, oil samples, etc.):

How do you prefer to receive a response:	E-mail Phone
If you prefer that we call you, please be sure you've given us your phone number above.

What is the best time to reach you?

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