Intake form

Help us serve you bet

Name *

Email address *

What services do you need assistance with?

Please select at least one option.

Installing ceiling fans

Hanging TVs

Assembling furniture

Drywall work

Painting

Other

What is your preferred date for the service?

What is your preferred time for the service?

Is there a specific location for the service? (Please provide an address)

What is your phone number?

Additional questions or comments

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Hargis HandyWorks