START WITH GALKO ELECTRIQUE TODAY GET YOUR PERSONALISED ONLINE RESIDENTIAL QUOTE A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator. First Name Last Name Telephone Email Complete address with postal code Type of client Residential Commercial Are you the owner? Yes No Type of property Select one Single family Plex (Duplex, triplex, quadruplex) Condo Start Date By law, we can only carry out work authorized by the owner. To facilitate the process, please give us a brief description of the work to be done and someone will contact you. Budget for this project Type of project Select one Electric car charger Electric entry (main distribution) Minor renovation (1 or 2 rooms) Major renovation Panel replacement Other Do you have your car charger? Yes No What is the model of your car charger? Would you like us to include the purchase of a car charger in the quoted price? Yes No What is the make/model of your electric vehicle? Desired installation date Location of your electrical panel Image(s) of your electrical panel Desired location of your electric car charger Please add a picture of your desired installation location Distance between the electric panel and the installation location Please add a picture of the front of your home What is the type of siding? Do you have a secondary panel Yes No Do you have or plan on adding a spa? Yes No Do you have or plan on adding a heated pool? Yes No Do you have or plan on adding a sauna? Yes No Do you have any secondary appliances (such as 2nd oven, 2nd dryer or exterior terrasse heaters) Yes No Please specify those secondary appliances* Do you heat with electricity Yes No Any other information/comments you would like to share? Location of existing panel Please upload your pictures here Additional information I was refered by Project description Do you have technical plans Yes No Upload your plans here Do you have a general contractor? Yes No Contractor's name Contractor's phone # Contractor's email What is the make/model of your current panel? What is the reason for the replacement? Where is your current panel located? Distance between the panel and the point of entry Please upload your pictures here Additional information I was refered by Please tell us more about your project Business name Questions or comments regarding the scope of the project Send
