~ESTIMATE REQUEST~

To request an estimate, please fill out the form below and
we will contact you within 24 hours.

Contact Information

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Billing Address

Work Location

Residential
Commercial
Location

Description

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Office Use Only

EMERGENCY SERVICE
If you can not wait for regular office hours and you need service immediately, please call us
at 845-942-4874. High priority will be subject to emergency rates.

Prepared By:________________________________________________
Date of Call:___________________Time of Call:__________________
Code:__________________________Service Type:_________________
HUSH Ticket Number:_______________________________________
Notes:_____________________________________________________________________________________________________________________
 

HUSH Electrical Contracting is located in Rockland County, NY. We are a full service electrical contractor specializing in residential, commercial, industrial and government.