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SERVICE REQUEST

Please include as much detail as possible to ensure appropriate service.  If you have an emergency that requires immediate attention, contact the office directly by phone at (812) 934-5096.

Your name: 
Apt. number:  
Phone number:  
Email address:  
Pets?:   No Yes
Special pet instructions:  
Permission to enter apartment?:   Yes No
Location of problem:  
Problem description/service requested:  
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23 Oakmont Place | Batesville, IN 47006 | Phone: (812) 934-5096 FAX : (812) 934-4579

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