REPAIR/MAINTENANCE REQUEST FORM
Tenant Name:
*
Property Address :
*
Suburb
*
Home Phone:
Business Phone:
Mobile:
Email:
*
Contact via:
Please choose...
Home Phone
Business Phone
Mobile
Email
Details of Repair:
Tenant Confirmation:
I / We hereby authorise your office or the repairers to enter the property with the keys in order to carry out the repair or quote. Check this box if you agree to the Confirmation
Additional Comments:
Please note the numbers and letters and copy them into this box
*
required fields
Renting
All Units for Rent
All Houses for Rent
Maintenance Request
Tenant Application Form Information
Privacy Policy
PRDnationwide REAL ESTATE - COOLUM BEACH
Ph: (07) 5446 5446
Cnr The Esplanade & Park Street, Coolum Beach 4573
Fax: (07) 5446 5222