Request For Customer Service
To help ensure attention to your request in a timely manner, please use this form
for your service requests.  Please complete the form in
detail.
Date:
Name:
MM/DD/YYYY
Address:
Lot #:
Home Phone:
Work Phone:
Detailed
Description of
1st  Request:
Please allow approximately thirty (30) days for completion of request.
Detailed
Description of
2nd  Request:
Please allow approximately thirty (30) days for completion of request.
Detailed
Description of
3rd  Request:
Please allow approximately thirty (30) days for completion of request.
Detailed
Description of
4th  Request:
Please allow approximately thirty (30) days for completion of request.
Detailed
Description of
5th  Request:
Please allow approximately thirty (30) days for completion of request.
By checking this box I give consent for "Seller", their agents, employees or
designees to enter my property, as referenced above; for the purpose of repairing
or completing customer service and/or construction items in my new home as
described herein. **
Date:
Print Full Name:
MM/DD/YYYY
** By executing this Request for Customer Service, I acknowledge that I am giving
permission to Modern Living Spaces, LLC, or an individual or company of its choice to
enter my residence in my absence, to make the necessary repairs pursuant to this
Request for Customer Service.

Further, by executing this Request for Customer Service, I agree to indemnify, hold
harmless and defend Modern Living Spaces, LLC, its officers, directors, employees,
agents, and/or representatives from and against any and all claims associated with any
third party entering my residence in my absence.  This indemnification of provision will
not apply to the work performed on my residence pursuant to this Request for Customer
Service.


Home          B - Bar - H          Contact Us          Join Our Mailing List          Our Affiliates          Privacy Policy          Legal Notice


MID-CENTURY MODERNISM
BROUGHT WITHIN REACH.