4700 S. 2nd St.
Leavenworth, Kansas 66048-4542
Phone: (913) 651-9717
Fax: (913) 680-0916
Map to Our Office
Family Owned & Operated Since 1965
   
 
Work Order Form
   
 
This Form is to be used for Non-Emergency Maintenance Issues.
If you are experiencing a Maintenance Emergency, such as Running &/or Flooding Water, No cooling in the summer, No heat in the winter, etc., please call our office IMMEDIATELY!
(913) 651-9717
 
ALL Fields are REQUIRED!
1.
Name:
2.
Address:      Apartment #:
3.
City:     State:     Zip Code:    
4.
Contact Phone Number:
5.
Do we need to make an appointment for you to be there?
Please specify, Y for Yes or N for No
6.
Email Address:
7.
Description of Problem: (please be as descriptive as possible)
If faxing, send to: (913) 680-0916
© 3006 Development, Inc. A Greenamyre Company