Owner Identification Form

Print this form, fill it out and include with your clock.

Do not send your clock with a "signature required" attachment.
We have a secure area for incoming clocks that UPS and FEDEX are aware of.

Printer Friendly form

Owner Identification Form
 

Date Shipped to us ______________________

Name ________________________________
Address ______________________________
City _______________ St. _____  Zip______

Daytime phone number  (____) ____ - ________
Evening phone number   (____) ____ - ________
E-mail Address _________________________

Description of problem as best as you can describe.  ___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________

Numbers on weights   _______   _______
OR
Length of weights      _______   _______

 If you have an 8 day clock with music, YOU MUST CALL before sending it.

 

 

If you have any questions about our services or if you would like to talk with us about your clock in detail, please call us at 515-964-9068 or send an e-mail to dsporer2@aol.com.  We will answer promptly.  We realize your "baby" is very important to you and you may be assured it will be treated with the utmost care.

Back to Shipping.
Back to Home page.