www.VillageCrossingAtChinoHills.com
4200 Village Drive
Chino Hills, CA 91709
Phone: 909 597 4831 Fax: 909 597 0182

May 19, 2012
Welcome to Village Crossing! Call today for a tour of our community. We are offering $250 off your move-in on a 12 month lease.

Chino Hills California Rentals

Resident Service Request Form

Please fill out the service request form below and include as much detail as possible. This will ensure your request is handled appropriately. The leasing office will be in contact with you to schedule a maintenance appointment.

Resident Name:
Address:
Contact Phone # (with area):
X
Ext:
E-Mail:
Pets: Yes No
Pets' special instructions:
Permission is granted to enter my home:
Yes No
Location of Problem:

Service requested:
(please provide a detailed description of request)
Please type the characters that appear in the image.