Property and Contact Information Form
Property Name:
*
Other Properties
If you manage other properties with AERC Laundry Equipment, please indicate the names in this box.
Name of Property Management Company:
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Name:
*
First Name
Last Name
Primary Contact Email
*
example@example.com
Primary Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Phone Number Extension or Property Number
Phone Number Extension
Secondary Contact Name:
First Name
Last Name
Secondary Contact Email
example@example.com
Secondary Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Phone Number Extension or Property Number
Phone Number Extension
Address of Equipment
*
***If there are multiple buildings, please indicate building addresses***
Accessibility to Laundry Room/Equipment
*
*** Are there any access codes/keys/special instructions required in order to enter the property or access the equipment for service? If so, please provide information above***
Submit
Extra Notes
Should be Empty: