Name /客人名字 *

Email / 客人電郵 *

Country / 地區 *

Shop of purchase / 購買店鋪 *

Model No. / 型號

Reference No. / 修理編號

Please check off all that applies.

Case / 錶殼 *

Other damages / 其他損壞

Bezel / 錶圈 *

Other damages / 其他損壞

Lens / 玻璃 *

Other damages / 其他損害

Dial / 表面 *

Other damages / 其他損害

Hands / 針 *

Other damages / 其他損害

Crown / 把的 *

Other damages / 其他損壞

Strap & Buckle / 帶 & 扣 *

Other damages / 其他損害

Movement / 機芯 *

Other damages / 其他損壞

Others damages not mentioned above / 其他沒列明的損壞:

Photo: Front / 相片: 正面 *

Photo: Back / 相片：錶底 *

Photo: Damaged Area / 相片：損壞位置 *

Area Code / 區號

Phone / 聯絡電話

Date / 日期 *

Authorized by / 負責人： *

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!