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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 (937) 383-0670.

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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www.WilmingtonCourtApartments.com
959 Xenia Ave.
Wilmington, OH 45177
Phone: (937) 383-0670
FAX: (937) 382-4905

(C) Copyright 2009-2012 Daniel Baas. All Rights Reserved.
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