Student HOUSING Maintenance Request Form

Maintenance Request Form

Name		*
Student Email Address		*
Phone Number
Address repair is being requested		*
Room or Unit
Items needing repair or maintenance: (Please describe as best you can)		*
Best time to contact you in case there are further questions (Please include AM or PM)		*

Contact

Beulah Heights University
P.O. Box 18145
892 Berne St, S.E.
Atlanta, GA 30316
Tel: 404-627-2681

Email: admissionsinfo@beulah.org
Tel: 404-627-2681 ext. 117