Home Maintenance & Repair Application

Fill out this application and upon submission our office will call to set up an in-home consultation with one of our property specialist.

*First Name

*Last Name

*Phone

*Email

*Address Line 1

*Address Line 2

*City

*State

Name of Business

*Year of Property

*Square Footage of Property

*Number of Bathrooms

*Number of Bedrooms

*Type of Home

*How many Stories

*Type of Water Heater

*Number of AC Units

*Owner/Authorized Agent Name

*Date

Comments or Additional Information

AFR Family of Companies are proud to be your trusted local home services experts!

4387 W Sunset Rd, Las Vegas, NV 89118

702-329-2172

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