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Church Lane Townhomes
3601 Yenner Lane
Randallstown, MD 21244
Tel. 410-655-8600
Fax 410-655-4359

REQUEST FOR SERVICE

If this is an EMERGENCY call (410) 655-8600 immediately.

For an AFTER HOURS EMERGENCY call (410) 769-7955.

Please provide us with the following information:
 
Name:
 
E-mail:
 
Home Phone:
 
Work Phone:
 
Mobile Phone:
 
Street Name:
 
Street No:
 
Pet?
 Yes No
Please use the comments area below to describe the service repairs needed in your
home. To ensure that we complete your request in a timely manner, we ask that you
are as specific as possible in your description. For example, "The kitchen drawer next
to the oven is off track" as opposed to "The kitchen drawer is broken." Please include
any special needs or pet instructions. Thank you.
 
Comments:
 
By submitting this request for service, you are granting permission for a technician to
enter your home.
   
 

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