Account Application Form

    Title*

    Are you?*

    If tenant, please provide landlord details - name, address and phone number

    Are you a gold card holder?

    If yes, client number & expiry on the back of your card

    Another family member or friend (not living at the same address) name, address, phone number and their relation to you*

    I agree to invoices being sent by E-mail*

    Terms of Trade - Click to view terms of trade:
    www.electraserve.co.nz/terms-of-trade

    I have read and agree to the terms of trade*

    What our clients say about us…

    Ashburton’s biggest fleet of electricians servicing all of Mid Canterbury
    From repairs to your iron to new home and dairy shed wiring, you can rely on ElectraServe and their workmanship – guaranteed!

    Book a job