WATCH REPAIR
Please complete this form and enclose it with your carefully packed watch
for repair. Add a money order for $7.50 (postage and handling). If paying by
VISA or MASTERCARD, please see below.
NAME:
ADDRESS:
STATE / CITY: ZIP CODE:
PHONE#: DATE SENT:
PRICE EACH TOTAL PRICE
BATTERY $4.00 ____________
NON-WATERPRO
®
CASE/CRYSTAL $10.00 ____________
SHIPPING/HANDLING $7.50 $7.50
TOTAL CHARGES ____________ ____________
(Residents of CT & NY please apply appropriate sales tax)
TOTAL CHARGES
(with sales tax if applicable)
____________ ____________
Total charges may be paid with VISA or MASTERCARD or money order. If
paying by charge card, please fill-in below.
Please do NOT send cash.
VISA MASTERCARD
CARD#
EXPIRATION DATE
SIGNATURE
47 care & Warranty
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