Report a fault

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First name *

Surname *

E-mail *

Phone number *

Address rented property *

City *

Are you a rentee of landlord? *

Rentee Landlord

Describe the fault *

Does this happen more often? *

Yes No

Did you try to solve it yourself? *

Yes No

Is the object you rented during the day accessible to our reperateur *

Can you place a photo of the damage / malfunction? *

Note, (file size max. 2 mb)

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