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Form Submission - Work Order Initial Form

Name: David Cudgel

Name of Company/Organization: Cudgel Works

Are you an authorized representative?: Yes

If "No," please say what is your title/position?:

Website: http://www.cudgelworks.com

Email Address: cudgelworks@outlook.com

Phone: (440) 450-8072

Service being requested: MAINTENANCE AND REPAIR, GENERAL WORK, PART SWAP

:

Describe the problem: test

Outcome: results

Proposed payment: $5.00

Pay Rate: Flat rate

Explain:

Schedule START date:

Schedule FINISH date:

Is this a follow up order?: Yes

Please Enter Password: Testing1978

(Sent via Cudgel Works)

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