WATCHES  ETC. WATCH  REPAIR  FORM

Please fill out and print this form and send along with your watch to:

WETC.
548 Washington Street
Wellesley, MA 02482

First Name
Last Name
Address

City & State

Zip Code

Home Phone Number
Work Phone Number
E-mail Address
Watch Brand/Model #
Description of the Problem/ Service Requested
  Authorized to proceed with service up to $                       (no estimate needed)
  Please provide estimate
  Payment Enclosed / Credit Card Authorization
      (Please note, it is not required to include your credit card information here.)
VISA / MASTERCARD

CREDIT CARD NUMBER:
Expiration Date:
3 Digit Security Code
Name as it appears on card:
Authorized Signature:                                                                                                                                     

Billing address if different from above:                                                                                                                        

PLEASE DO NOT send us your watches in their original manufacturer's boxes, they will not be returned.
Due to space limitations we discard all packaging materials upon receiving your watch.