Your Billing Info: type in the boxes and print this page, (your
info will not be distributed over the internet)
NOTE: We Cannot
Deliver to PO Boxes, please enter physical addresses ONLY
First Name *
MI
Last Name *
Address *
City * Province* Postal Code * Country: Canada
* Indicates Required Field
Contact Info:
E-Mail Address (we'll notify you of
estimates by e-mail)
**Note: If E-mail address is not
available, we'll mail your estimate by Snail or Fax.
Daytime Phone Number Evening Phone Number
Shipping Info:
(Leave Blank if same as Above)
First Name MI Last Name
Shipping Address (no PO Boxes, please)
Add'l Address Space
City Province Postal Code Country: Canada
* Indicates Required
Field
Repair Item Information:
Describe the Item
You're sending in for Repair *
Serial Number (optional)
Comments/Services
Requested: (limit 1,000
characters)*
It helps the watchmaker to have as much information as
possible about what the timepiece is doing or not doing.
* Indicates Required Field
Payment Method:
(choose one)
Signature (signature required)
**There's a
$15 diagnosis fee. Diagnosis fee is waived if the recommended repairs are performed and over $95.00 There is No Charge for Return
shipping/insurance/handling. You can review our repair warranty HERE
Our Shipping Label:
(Complete,
Clip-Out, & secure to package)
From:
TO: Squires
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