www.Perinos.net
635 S. Norton Ave. (at Wilshire Blvd.)
Los Angeles, CA 90005
Phone: (213) 385-3555 Fax: (213) 385-3040

May 18, 2012
BRAND NEW!!!!!! CONSTRUCTION JUST COMPLETED!!!!!! CALL NOW: (213) 385-3555 EMAIL: leasing@perinos.net
Resident Service Request Form

Please fill out the service request form below and include as much detail as possible. This will ensure your request is handled appropriately. The leasing office will be in contact with you to schedule a maintenance appointment.

Resident Name:
Address:
Contact Phone # (with area):
X
Ext:
E-Mail:
Pets: Yes No
Pets' special instructions:
Permission is granted to enter my home:
Yes No
Location of Problem:

Service requested:
(please provide a detailed description of request)
Please type the characters that appear in the image.