Do you have a home system emergency to report that needs repair or maintenance? Any information you provide will be used solely for the purpose of assisting you with your needs. Please complete the information that follows: Name * : Address: City: E-Mail * : Home Phone: Work Phone: Cell Phone: Best time / place to contact you : Permission to release key: (If you do not select to allow us to give the vendor our key, someone will need to be available to meet with the vendor at the property at the vendor's convenience.) Type of problem: Select One HVAC Plumbing Roofing Water Leak Appliance Electrical Flooring Brand / type of appliance (if applicable): Description of problem:   Atlanta Rental Property Specialist Tom Cowan of RE/MAX Center 1140 Old Peachtree Rd. Ste. D, Duluth, GA 30097 Direct 678-775-1617 Office 770-932-1234 Fax 678-317-9048 e-mail: TomCowan@gahomerentals.com

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