Repair Services

First Name *

Last Name *

Company (if applicable)

PO / REF (for jewelers sending on behalf of a client)

Street Address *

Address Line 2

City *

State / Province / Region *

Zip / Postal Code *

Phone Number *

Email *

Brand Name *

Serial Number *

Service Requests (please check any/all that apply)

Request for Factory ServiceRequest for Warranty RepairRequest for Minor Service

Declared Insurance Value *

Service Instructions *

Who filled out this repair form? *

I am filling this out for my timepieceI am a jeweler sending this timepiece on behalf of my clientRepair form filled out by The Watchmaker

Special Packaging *

I understand that any packaging I include in this shipment will not be returned to me.