TimeCareinc.com - Shipping Repair Order Form

Please pack all watches in foam or bubble wrap in boxes only. Send watch only and
completed watch repair form. No manufacturers boxes. If sending more than 1 watch
include a repair form for each watch.

Please enter your information, sign and send this form with your watch.

Date:

Name:

Address:

City:   State:   Zip:

Phones - Work:   Cell:   Home:

Email Address:

Watch Brand:   Model:

Watch Metal (gold/silver/stainless):   Serial #:

Type of band (leather/metal ):
List only if sending the band with the watch.

Description of watch (color of dial, bezel, sapphire crystal, acrylic etc.):


Repair request (clean oil and adjust, crystal, tube crown, refinishing etc.):


Describe what problems you are having in detail:



When was the last service?

Is the watch running now?     Yes or No:

Declared Value - the amount we will use to send watch back to you:   $

Please send to the following address (NOTE - THIS IS SHIPPING ADDRESS ONLY):

Time Care Incorporated            Phone number: 727-215-8870
9355 113th Street #7489            Fax: 727-392-8793
Seminole, Florida 33775            Email: rikki.234@hotmail.com
              Thank you!