Divine Built — Electrician Intake Form

📋 The Basics

Let's start with the essentials.

Business Name

Your Name

Phone Number

Email

Business Address I'm mobile / no storefront

⚡ Your Services

Check everything you offer — no wrong answers!

Anything else you specialize in?

📍 Where You Work

Help us know your service area.

Primary City You Serve

Other Cities / Areas You Cover

Who do you serve?

Residential

Commercial

Both

⭐ What Makes You Special

This helps us tell your story.

Years in Business

License Number

Optional — we'll display it to build trust

Why should someone pick you over the competition?

Any guarantees you offer?

🌐 Your Online Presence

We'll work with what you've got!

Do you have a website?

Yes

No

Google Business Profile?

Yes

No

Approximate Google Reviews

# of reviews

Average rating

Social Media Links

🎨 Photos & Branding

Don't stress — we can work with anything.

Do you have a logo?

Yes

No

Brand Colors

Photos of your team, trucks, or completed jobs?

Yes

Some

No

We'll ask you to send photos separately — don't worry about uploading here.

🎯 Final Touches

Almost done — you're crushing it!

Any special offers you want featured?

Any websites you like the look of?

Anything you definitely DON'T want?

Best way to reach you?

📱 Text

📧 Email

🤷 Either

📋 The Basics

⚡ Your Services

📍 Where You Work

⭐ What Makes You Special

🌐 Your Online Presence

🎨 Photos & Branding

🎯 Final Touches

You're all set!