Please complete the form details below: [ * required ]

PROPERTY DETAILS
Rental Address *
Tenant /s
Date
Time
CONTACT DETAILS
Name *
Access to Property
Phone (w)
Phone (h)
Mobile
Email
REPAIRS REQUESTED
Comments *
Tenant Confirmation & Privacy Acknowledgement
I / We hereby acknowledge and accept that my/our contact details will be given to the necessary tradesperson in order to carry out the repairs/maintenance advised herein and hereby authorize Conias Real Estate and/or their repairers to enter the property with the office set of keys in order to investigate or carry out repairs.