2. Contact Information
Mobile Phone Number
Alternate Phone Number *
estimate is sent by email)
So Please ADD firstname.lastname@example.org to your email contacts to receive your repair estimate.
**Note: If E-mail address is not available, we'll send your estimate by regular mail.
Shipping Shipping (If Different from Mailing)
This should be a physical address for returning your watch, NO PO Boxes, Please
Shipping Address (no PO Boxes, please)
Add'l Address Space
City State (2 digits) Zip +4 Code
Please use care in completing shipping address. Address correction charges of $12.50 will be applied by the carrier for incorrect delivery information.
A Signature will be REQUIRED for Delivery
(limit 1,000 characters)
Use the box below to provide the watchmaker with information about what the watch is doing or not doing. (For example, "not running", "2 min/day fast", "Warranty Issue", etc.)
5. Professional Appraisal Service
(Please check one)
YES - Check this box if you'd also like us to include a professional appraisal of your item after restoration. We can provide a written appraisal of your item, (including digital photographs). This Professional Appraisal can be used to add this property to your homeowners insurance. Our Appraisals are provided at a discounted price of $85, (regular price $125), when performed in conjunction with repairs, and will be delivered with your repaired item.
NO Thanks. Maybe some other time.
6. Payment Method
Personal Check - Visa - MasterCard
Credit Card Number
Exp. Date (any format) Card ID Number
Name as it Appears on Your Card
Zip Code as it Appears on Your Card Statement
WATCHMAKERS@OLDFATHERTIME.COM to your email contacts.************************
ALL NOTICES WILL BE SENT BY EMAIL unless one is not available.**
7. Your US Postal Service Shipping Label
(Clip-Out, & secure this label to your package) USPS Registered, Insured is Recommended
8. Print Your Repair Form & Shipping Label
This form should be completed and mailed with
If you have questions about completing this form, please call us at
1 (800) 383-4992
We appreciate your business