Merrifield Real Estate Maintenance Request Form
About the Property and Requested Repair
Street Address (*)
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Suburb (*)
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Post Code (*)
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Description of requested repair:
Please be sure to mention the make, model
and description of the appliance (if applicable) (*)
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Can our tradesperson enter if you are not there, using our office key?
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If not, what is your preferred day for repair
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If not, what is your preferred time for repair
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First Name (*)
Please type your first name.
Last Name (*)
Please type your last name.
Phone Number
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Mobile Number
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E-mail (*)
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Comments
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