Pocket Watch Form

Please fill out the following form to receive a free preliminary quote by e-mail. Remember that we can only make a payment offer upon receipt of the actual items.

Brand Name:
Model Name:
Serial Number:
Age of Watch
Movement Type:
Watch Case Material:

Is the watch running?:
Is the Crystal cracked or scratched?:
Is the Watch Engraved?
Do you have original box papers?:
Do you have a Photo of the Watch?
Photo URL:
Overall Condition:
Description & Comments: Please enter any useful information:
First Name (Required) :
Last Name (Required) :
E-Mail (Required) :
Street :
City :
State :
Zip Code :
Daytime Phone:
Evening Phone:
Where & When is the best time to reach you?
How Did You Hear About Us?:

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