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Masterpiece Watch Restoration & Repair

Watch Repair Form

 

Customer Billing Information

Full Name

Address

City

State

Zip

Country

Email

Home Phone

Cell Phone

Payment Information

Visa Master Card Discover Check

Payment Amount

Account#

Exp.(mm/yy)

CVV security code Where is my code?

Signature

Your credit card will be charged only for an estimate fee. If further work is approved then you may authorize us to charge the remainder on the same credit card or choose another payment method. 

You may also pay by check if you wish. Please make it out to: Masterpiece Watch Restoration

How did you hear of us :

Customer Shipping Information

 

Full Name

Address

City

State

Zip

Country

Email

Home Phone

Cell Phone

 

Masterpiece Watch Restoration

P O Box 678
Mango, FL 33550-0678

Type of Timepiece :

Age of Timepiece :

Metal :

Water Resistance Level:

Are you interested in selling this or another timepiece :

Brand:

Model:

Service request:

 

Signature:______________________________

Date: _________________________________

Insurance Value $__________________________

*OUR MAXIMUM LIABILITY FOR THIS ITEM IS $100.00
UNLESS A SPECIFIC VALUE IS STATED HERE

 

 

 

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You must submit a separate and complete Repair form for each watch you are shipping.
Please package your watch in a box - no padded envelopes please. Do not include your original box, paperwork or any other packaging you may want back. We recommend and ship by Registered US Mail. We will contact you upon completion of the estimate. We encourage you to include your email address to expedite the delivery of your estimate or communication concerning your timepiece.

By signing this form and sending us your valued timepiece you are agreeing to the following:

We cannot diagnose the problem or give you an honest & accurate estimate without inspecting your watch.

 

After pressing the Printer Friendly Button above you can type in this form and then print it out to include with your watch

(Set printer setup to 60% - landscape)

or
you may print the form and fill it out by hand
PLEASE PRINT CLEARL
Y

Then mail the completed form and watch

along with payment to:

Masterpiece Watch Restoration

P O Box 678
Mango, FL 33550-0678

 

 

 

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