This is the form required to submit a request for repair/maintenance of any of the physical properties of Luxomni Baptist Church.

Once completed, the information will be emailed to the members of our Men's Maintenance Ministry. The request will then be prioritized and handled as expeditiously as possible. Thank you for helping to keep the resources that God has entrusted to us in good order!

Your Name (required)

Your Email (required)

Your Phone Number (required)

Luxomni Maintenance Request

Date of Request



Description of Issue