The Last Windup lwu repairform Page 1
113 East Main St. Bozeman, MT 59715
Phone 406-587-7209 Email firstname.lastname@example.org
IMPORTANT: Please print and fill out this form
and include it when sending a watch for repair.
Name: _______________________________________ Date: ___________
Address:________________________City: ___________State:____Zip: ___________
Home Phone:____________ Business: ______________ Cell Phone:______________
Value of the watch (for return insurance): ______________________
Brand of Watch: _______________________________________
Issue with watch: ________________________________________________________
Estimate Requested: Yes No
Methods of mailing:
We strongly suggest that you use the US Postal Service. For high value items ($1000 or more),
Registered mail is the best method. This requires paper tape on the exterior of the box only. No clear
tape. For modest value items, ship first class US mail, insured for the amount you require and if you
prefer, add return receipt to be sent to you when we receive your watch. Please send nothing more
than your timepiece. Chains, fobs, extra straps, original boxes and the like are not required.
We will notify you within 3-5 business days upon receipt of the watch with an estimate.
Our Mailing Address:
The Last Wind-Up
113 East Main St.
Bozeman, MT 59715