Repair Request Form

Please Ship Package & Form To:

Repair Department
WM Company
379 Main Street
Stoneham, MA 02180
USA

Please use the button below to print this form and submit it with your item.  If you are sending multiple items you may use one form but please indicate what is included in the package.  If you do not have a printer, please provide all of the requested information from the form written clearly.  All items subject to verification by The Watchmaker.

PLEASE DO NOT SHIP YOUR ORIGINAL BOX. IT WILL NOT BE RETURNED.

Name

Address


,

Contact

Day:    |   Night:
Email:

About the Watch

Brand:    |   Model:
Value: $

Problem/Instructions

Card Authorization Please fill out this information after printing this page

(   ) I would like an estimate prior to any work being performed. I understand that return processing/handling charges will apply if the repair estimate is declined, this costs between $17.50-$35 for most items.


(   ) I do not want/require an estimate in advance
if the total is < or = to $_______.
I authorize a charge up to that amount on my Mastercard/Visa/Discover/Amex # _____________________________
which expires ____/________, security code CVV is _______


If the billing address is different than the
address provided above please provide here: