Report Repairs On-line - Chorlton Central Church

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Report Repairs On-line

Bookings

Title

Forename

Surname

Address (1)

Address (2)

City/Town

Postcode

Phone (day)

Phone (evening)

Phone (mobile)

Email*

Organisation Name*

When did you first notice the problem ?*

Where is the fault ?*

Type of fault*

Is this an URGENT safety hazard ?*

Yes
No
Don't know

Additional Information*

About you

Contact details

Additional information

Please include enough information that we can easily identify the fault.

updated 3 October 2014

An Open and Inclusive Baptist & URC Church
in South Manchester, UK