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Neighborhood Church Okinawa - Maintenance Request Form
For areas you feel need attention, submit this form.
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* Indicates required question
Name of person making request
*
Your answer
Today's date
*
MM
/
DD
/
YYYY
Area and/or Room number
*
Your answer
Ministry Department
*
Your answer
Please list items needing attention:
*
Your answer
FOR OFFICE USE ONLY
Maintenance Approved [ ]
Maintenance Denied [ ]
Person completing task(s):
Authorization:
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