Name *

First Name

Last Name

Contact Number *

(###)

###

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Are you the first owner of this watch? *

Yes

No

Condition *

New - complete and unworn

Excellent - worn but with no marks or scratches

Good - shows light signs of wear, recently serviced

Fair - moderate scratches and signs of repeated wear, not serviced within 3 years

Poor - shows signs of heavy wear, not serviced within the last 5 years

This watch includes: *

(check all that apply)

Original box

Original sales receipt

Original warranty card

Service papers / service warranty

Service receipts

None of the above

Name *

First Name

Last Name

Phone *

(###)

###

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