Contact Us Welcome to Burczyk Electric's Request Form. Just fill out ALL the fields below, tell us what you are requesting and we will respond ASAP. We are pleased to offer this new service to our customers. THANK YOU. fields marked with an * are required to receive a responce !

First Name: * Last Name: * Address: City: State: Zip Code: Phone: * Fax: Email: * Best time for us to contact you. * Leave us a brief message or request and someone from Burczyk Electric will contact you as soon as possible: How did you find Us ? Radio Search_Engine Company_Vehicle Yellow_Pages Refferal Other