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Maintenance Request
Your Name
*
Email
*
Date of Request
*
DD slash MM slash YYYY
Building
*
Revive Church, High Street
Revive Coffee Shop, Market St
Type of Request
*
Fix something that is broken
Install something new
Request a quote for work
Priority
If this is an emergency - please call the Facilities Manager as soon as possible after completeing this form
Priority
*
Routine
Emergency
Request/problem
*
Please write in as much details as possible your request. Provide details of locations, rooms. equipment, parts needed etc.
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