ÿþ <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"> <html> <head> <title>Reliable Electric - Myrtle Beach Electrician Serving Horry County</title> <link rel="stylesheet" href="css/reliable.css" type="text/css" media="screen" /> <meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" /> <meta name="description" content="Residential and Commercial Electrician serving Horry and Georgetown County" /> <meta name="revisit-after" content="2 days" > <meta name="document-class" content="Living Document"> <meta name="document-classification" content="Design"> <meta name="document-rights" content="Copyrighted Work"> <meta name="document-type" content="Web Page"> <meta name="document-rating" content="Safe for Kids"> <meta name="document-distribution" content="Global"> <meta name="document-state" content="Dynamic"> <meta name="robots" content="noarchive"> <script type="text/javascript"> var _gaq = _gaq || []; _gaq.push(['_setAccount', 'UA-5380351-8']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 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Use the form below to contact us about a new service call, electrical question, or any other assistance that you may require.<br/><br/> <b>If you would like to share your review or feedback with us, you ll be entered to win a $100 Service Call!!!</b> Only past or current customers are eligible to win. Winner is chosen randomly and will be contacted by email. Reviews will be posted on our website. Only first names and reviews will be displayed. </div> <div style="float:left;width:650px;padding-bottom:10px;padding-left:15px;"> <form id="emf-form" enctype="multipart/form-data" method="post" action="http://www.emailmeform.com/builder/form/c7685VUOS9t3mCoqu" name="emf-form"> <table style="text-align:left;" cellpadding="2" cellspacing="0" border="0" bgcolor="#FFFFFF"> <tr> <td style="" colspan="2"> <font face="Verdana" size="2" color="#000000"><b style="font-size:20px;"></b><br /> <br /></font> </td> </tr> <tr valign="top"> <td id="td_element_label_0" style="" align="left"> <font face="Verdana" size="2" color="#000000"><b>Name</b></font> <span style="color:red;"><small>*</small></span> </td> <td id="td_element_field_0" style=""> <table cellpadding='0' cellspacing='0' border='0'> <tr> <td align='center' style='padding-left:0;padding-right:3px;'> <input style='width:60px;' value='' id='element_0_2' name='element_0[]' type='text' class='validate[required]' /><br /> <font face="Verdana" size="2" color="#000000">First</font> </td> <td align='center' style='padding-left:0;'> <input style='width:100px;' value='' id='element_0_3' name='element_0[]' type='text' class='validate[required]' /><br /> <font face="Verdana" size="2" color="#000000">Last</font> </td> </tr> </table> <div style="padding-bottom:8px;color:#000000;"></div> </td> </tr> <tr valign="top"> <td id="td_element_label_1" style="" align="left"> <font face="Verdana" size="2" color="#000000"><b>Address</b></font> </td> <td id="td_element_field_1" style=""> <table cellpadding='0' cellspacing='0' border='0' width='100%'> <tr> <td colspan='2' style='padding-left:0;'> <input value='' type='text' style='width:99%;' id='element_1_1' name='element_1[]' class='validate[optional]' /><br /> <font face="Verdana" size="2" color="#000000">Street Address</font> </td> </tr> <tr style=''> <td colspan='2' style='padding-left:0;'> <input value='' type='text' style='width:99%;' id='element_1_2' name='element_1[]' class='validate[optional]' /><br /> <font face="Verdana" size="2" color="#000000">Address Line 2</font> </td> </tr> <tr> <td style='width:50%;padding-left:0;'> <input value='' type='text' style='width:99%;' id='element_1_3' name='element_1[]' class='validate[optional]' /><br /> <font face="Verdana" size="2" color="#000000">City</font> </td> <td style='width:50%;padding-left:5px;'> <input value='' type='text' style='width:99%;' id='element_1_4' name='element_1[]' class='validate[optional]' /><br /> <font face="Verdana" size="2" color="#000000">State / Province / Region</font> </td> </tr> <tr> <td style='width:50%;padding-left:0;'> <input value='' type='text' style='width:99%;' id='element_1_5' name='element_1[]' class='validate[optional]' /><br /> <font face="Verdana" size="2" color="#000000">Postal / Zip Code</font> </td> <td style='width:50%;padding-left:5px;'> <select style='width:100%;' id='element_1_6' name='element_1[]' class='validate[optional]'> <optgroup label="North America"> <option value="United States" selected="selected"> United States </option> </optgroup> </select><br /> <font face="Verdana" size="2" color="#000000">Country</font> </td> </tr> </table> <div style="padding-bottom:8px;color:#000000;"></div> </td> </tr> <tr valign="top"> <td id="td_element_label_2" style="" align="left"> <font face="Verdana" size="2" color="#000000"><b>Phone</b></font> <span style="color:red;"><small>*</small></span> </td> <td id="td_element_field_2" style=""> <table cellpadding='0' cellspacing='0' border='0'> <tr> <td style='padding-left:0px;'> <input maxlength='3' style='width:30px;' value='' id='element_2_1' name='element_2[]' type='text' class='validate[required,custom[onlyNumber],length[3,3]]' /><br /> <font face="Verdana" size="2" color="#000000">###</font> </td> <td style='padding-top:5px;padding-left:3px;' valign='top'> <font face="Verdana" size="2" color="#000000">-</font> </td> <td style='padding-left:3px;'> <input maxlength='3' style='width:30px;' value='' id='element_2_2' name='element_2[]' type='text' class='validate[required,custom[onlyNumber],length[3,3]]' /><br /> <font face="Verdana" size="2" color="#000000">###</font> </td> <td style='padding-top:5px;padding-left:3px;' valign='top'> <font face="Verdana" size="2" color="#000000">-</font> </td> <td style='padding-left:3px;'> <input maxlength='4' style='width:40px;' value='' id='element_2_3' name='element_2[]' type='text' class='validate[required,custom[onlyNumber],length[4,4]]' /><br /> <font face="Verdana" size="2" color="#000000">####</font> </td> </tr> </table> <div style="padding-bottom:8px;color:#000000;"></div> </td> </tr> <tr valign="top"> <td id="td_element_label_3" style="" align="left"> <font face="Verdana" size="2" color="#000000"><b>Email</b></font> <span style="color:red;"><small>*</small></span> </td> <td id="td_element_field_3" style=""> <input id="element_3" name="element_3" class="validate[required,custom[email]]" value="" size="30" type="text" /> <div style="padding-bottom:8px;color:#000000;"></div> </td> </tr> <tr valign="top"> <td id="td_element_label_4" style="" align="left"> <font face="Verdana" size="2" color="#000000"><b>Date<br /> (For Service Requests)</b></font> </td> <td id="td_element_field_4" style=""> <table cellpadding='0' cellspacing='0' border='0'> <tr> <td style='padding-left:0;padding-right:3px;'> <select id="element_4_year-mm" name="element_4_month"> <option value="1"> 1 </option> <option value="2"> 2 </option> <option value="3"> 3 </option> <option value="4"> 4 </option> <option value="5"> 5 </option> <option value="6"> 6 </option> <option value="7"> 7 </option> <option value="8"> 8 </option> <option value="9"> 9 </option> <option value="10"> 10 </option> <option value="11"> 11 </option> <option value="12"> 12 </option> </select><br /> <font face="Verdana" size="2" color="#000000">MM</font> </td> <td style="padding-top:5px" valign="top"> <font face="Verdana" size="2" color="#000000">/</font> </td> <td style='padding-left:3px;padding-right:3px;'> <select id="element_4_year-dd" name="element_4_day"> <option value="1"> 1 </option> <option value="2"> 2 </option> <option value="3"> 3 </option> <option value="4"> 4 </option> <option value="5"> 5 </option> <option value="6"> 6 </option> <option value="7"> 7 </option> <option value="8"> 8 </option> <option value="9"> 9 </option> <option value="10"> 10 </option> <option value="11"> 11 </option> <option value="12"> 12 </option> <option value="13"> 13 </option> <option value="14"> 14 </option> <option value="15"> 15 </option> <option value="16"> 16 </option> <option value="17"> 17 </option> <option value="18"> 18 </option> <option value="19"> 19 </option> <option value="20"> 20 </option> <option value="21"> 21 </option> <option value="22"> 22 </option> <option value="23"> 23 </option> <option value="24"> 24 </option> <option value="25"> 25 </option> <option value="26"> 26 </option> <option value="27"> 27 </option> <option value="28"> 28 </option> <option value="29"> 29 </option> <option value="30"> 30 </option> <option value="31"> 31 </option> </select><br /> <font face="Verdana" size="2" color="#000000">DD</font> </td> <td style="padding-top:5px" valign="top"> <font face="Verdana" size="2" color="#000000">/</font> </td> <td style='padding-left:3px;padding-right:3px;'> <select id="element_4_year" name="element_4_year"> <option value="2011"> 2011 </option> <option value="2012"> 2012 </option> <option value="2013"> 2013 </option> <option value="2014"> 2014 </option> <option value="2015"> 2015 </option> <option value="2016"> 2016 </option> <option value="2017"> 2017 </option> <option value="2018"> 2018 </option> <option value="2019"> 2019 </option> <option value="2020"> 2020 </option> <option value="2021"> 2021 </option> <option value="2022"> 2022 </option> <option value="2023"> 2023 </option> <option value="2024"> 2024 </option> <option value="2025"> 2025 </option> <option value="2026"> 2026 </option> <option value="2027"> 2027 </option> <option value="2028"> 2028 </option> <option value="2029"> 2029 </option> <option value="2030"> 2030 </option> </select><br /> <font face="Verdana" size="2" color="#000000">YYYY</font> </td> </tr> </table> <div style="padding-bottom:8px;color:#000000;"></div> </td> </tr> <tr valign="top"> <td id="td_element_label_5" style="" align="left"> <font face="Verdana" size="2" color="#000000"><b>Paragraph Text</b></font> </td> <td id="td_element_field_5" style=""> <textarea id="element_5" name="element_5" cols="45" rows="10" class="validate[optional]"> </textarea> <div style="padding-bottom:8px;color:#000000;"></div> </td> </tr> <tr> <td colspan="2"> <script type="text/javascript"> //<![CDATA[ var RecaptchaOptions = { theme: 'clean', custom_theme_widget: 'emf-recaptcha_widget' }; //]]> </script> <script type="text/javascript" src="https://www.google.com/recaptcha/api/challenge?k=6LchicQSAAAAAGksQmNaDZMw3aQITPqZEsX77lT9"> </script> <noscript><iframe 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Your information will never be sold to a third party.</div> </div> <div style="float:left;width:900px;text-align:center;background-color:#962733; color:#FFFFFF;padding-top:5px;padding-bottom:10px;"> <h2>Reliable Electric - We'll "BEE" There</h2> 5082 Lafon Ln. Suite 19 - Myrtle Beach, SC 29588<br/> 843-272-2190 (North Myrtle Beach) - 843-294-0355 (Myrtle Beach - Pawleys) </div> </div> </div></div> </html> </body>