If you have a question about your clock, please fill out the clock repair request form below.

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Your Name *

First

Last

Your Email *

Email

Confirm Email

Cell *

Can this cell receive texts? *--- Select Choice ---YesNoSMS only

Address *

Address Line 1

Address Line 2

City

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Zip Code

What type of clock do you have? *

• Grandfather
• Cuckoo
• Wall
• Mantel
• 400 Day / Anniversary
• Quartz / Battery Operated
• Electric
• Other

Brand / Name of clock (if applicable)

Model / Serial Number (if known)

Approximate age of clock or date purchased / acquired

of Serial Model

Is your clock running / ticking?

• Yes
• No

Is your clock chiming / striking? (if applicable)

• Yes
• No

Please describe the issue(s) with your clock(s) *

If you have more than one clock you would like serviced, please list those clocks here.

Submit Repair Request

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