New Account Setup



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Property Name Property Address	Management Company Name Management Company Address
City Zip Email*	Management Phone Fax Customer Name*
Location on-site where work is to be performed Work Requested: Is this considered a hazard? yes no Time clocks? yes no Photo cells? yes no High-reach equipment? yes no Key needed? yes no Gate Code? yes no Code: Street lights? yes no If yes? City SCE	Mail Invoice To: Management Company Property Address Is This Contract A Planned Maintenance Account? yes no If no, are you interested in a bid? yes no Are You Requesting A Special Call Out For Planned Maintenance Account? yes no Or, Add This To The Next Planned Maintenance Light Check? yes no Does Customer Use PO#? yes no Purchase Order Not to Exceed $ Amount

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