Maintenance Request Form

Your Name: * Address: * Telephone Number: * E-mail Address: * Please describe the item in need of repair: * Can we enter your apartment when you are not home to make the repair? * YesNo Preferred Date of Entry: * Time Frame: 8:00am-12:00pm12:00pm – 4:00pm4:00pm – 7:00pm Additional Comments / Requests: * Required

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A pleasant, long term relationship with our customers is our most valued asset. __________________________________________________________________________________