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Watch Repair Intake

Job #: Date:

Customer Information

Name

Phone

Preferred Contact

Watch Details

Brand

Model

Reference #

Serial #

Case Material

Case Back Type

Movement Type

Caliber (if known)

Condition on Receipt

Running Stopped Intermittent Magnetized

Rate (if running)

Power Reserve

Crystal Condition

Case Condition

Crown Condition

Customer Complaint

In customer's own words:

Technician Observations

Accessories Received

Service Authorization

Estimated Cost

Estimated Completion

Approved up to estimate Call if over $

Customer Signature

Date

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