Request Service Form

Your Home or Business is serviced by:

Mr. Handyman Tri-County

1474 Rt. 23 North

Wayne, NJ 07470

973-696-9393

201-529-9916


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First Name

Last Name

Company

Apt., Suite, Complex, etc.

Street Address

City

State

Postal Code

Home Phone

Work Phone

E-Mail Address

 

How did you hear about Mr. Handyman?    

Have you used our service before?               Yes  No


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Would you like to request a specific technician?  Yes  No

Service Technician's Name:

 

How quickly do you need the work completed?

 

24 Hours 48 Hours One week Two Weeks Flexible

 

Desired Completion Date

 


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What items would you like completed? (Check all that apply)

 

General Repairs

Drywall Repair

Interior Painting

Exterior Painting

Carpentry

Moldings and Trim

Power Washing

Exterior Deck Refinish

Interior Remodel

Interior Decor'

Masonry Work

Other

 

Please describe the work you would like done:

 

 


 

 

Please press the submit button after completing the form and you will receive a response shortly.

 

At your service.........