Anne Klein Watch Repair | Part Replacement Order Form Anne Klein Watch Repair | Part Replacement Order Form (* required) Your Information Full Name* Email* Phone* Return ShippingAddress* City* State* ---AlaskaAlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of Columbia Zip* Anne Klein Watch Information Please include all available information Model# (Located On Back Case. ##/####) Watch Description* (General Description Including female/male, Dial Color, Approx. Age, Band Strap: Leather or metal) Date Of Purchase* (Formate: mm/dd/yyyy) Warranty Paperwork Enclose* Yes No Repair Information Problem or Service Requested* (check all that apply) Strap/Bracelet Add Links Remove Links Crystal (lenes) Gems/Stone/Embellishments Replacement Dial/Face Bezel (Bottom Housing / watch Body) Crown(Winder) Clasp/Latch Hands(Watch Arms) Not Running Moisture/Condensation Issue After we receive your watch, we will perform an inspection in order to provide you with an estimate/evaluation. To expedite the evaluation and repair process, you can pre-authorize the repair* up to a specific dollar amount. Repair Comments Pre-Authorize Repair Note: If the repair estimate is over the amount you checked, or if you do not preauthorize the work, we will NOT do any work until we speak to you first. $30 or Less $40 or Less $60 or Less $80 or Less $100 or Less Call Before Repair Or Enter Custom Amount: