WATCH REPAIR REQUEST FORM
USA WATCH SERVICE
2 Washington St. Suite J1
Dover, NH 03820
Tel. (603) 742 0001
Fax. (603) 742 1150


Customer Information :

Please fill in the form, print it and send it along with your watch.
Your watch will be returned to this address by US Mail. A Signature will be required when
your watch is returned.

Name....................................................

Customer Address................................

City........................................................

State...................................................................................................

Zip.......................................................................................................

Daytime Phone.....................................

Email Address......................................

Brand of Watch...........................................................................

Model/Serial Number (if known)..........

Please describe the problem you are having (be specific):.............................................

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