Tenant Maintenance Request - Paeroa

Tenant Name *
 
Property Address *
 

Contact Phone

Home Phone Number
 
Work Phone Number
 
Mobile Phone Number *
 
Nature of Problem
 

If the repair relates to any of the following appliances please list the make and model

Stove
 
Oven
 
Cooktop
 
Dishwasher
 
Hot Water
 
Washing Machine
 
Fridge
 
Dryer
 
Air Conditioner
 
Microwave
 
Date *