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Bernstein Realty

Work Order

PLEASE READ FIRST

By submitting this work request you authorize Bernstein Realty and it's contractors to enter your residence to perform necessary repairs.

Should like to be present or make special arrangements, please write the request below.

Name (First and Last Please):
Address please include unit number:
Email Address:
Home Phone:
Mobile Phone:
Work Order Request, please be detailed:

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