This form is for my information when I receive your clock. It is meant for you to print out on your printer, fill out by hand, and ship with your clock. I request that you provide me with this information so that I know "who you are", and "how to contact you", when I receive your clock. It is not a form to fill out and submit online, because clock problems cannot be diagnosed and costs cannot be estimated, without inspecting your clock in the shop.
Please note, before shipping a clock to me: there is a minimum charge of $10.00 to return your clock to you, regardless of whether or not repairs were performed, or how few dollars you may have spent to ship it here. The cost will be higher than $10.00 based on the size and weight of the clock, and the declared insurance value. Please contact me if you have any questions.
PLEASE PRINT CLEARLY
Street Address (no P.O. Box please): ____________________________________________
Apt. or Unit: ___________________
City: ____________________ State: _________ Zip Code: ________
Daytime Phone: ( ) ______-______________ extension ________
Evening Phone: ( ) ______-______________
Fax Number: ( ) ______-______________
E-mail address: __________________________________________
Type and/or Brand of Clock: ________________________________________
Declared Value (this is the amount of insurance coverage you wish your clock to have while it is in my possession, and when it is returned to you): $_________________
Please describe the problem(s) you are having with your clock. Please be specific.
J.F.K. Clock Repair recommends that you ship the clock via the carrier of your choice, insured for damage or loss in transit for whatever you feel is the replacement value.
Please do not ship the clock in any packaging that you would like to receive back, as it is impossible for me to guarantee that your clock and its box/packaging will be kept together while in the shop. Please do not send its original box or packaging from the retailer or manufacturer, for the same reason. In short, do not send your clock in any packaging material that you would like to see again.
After receiving and inspecting your clock, you will be contacted with a repair estimate. Upon approving your clock repair, I will request either a credit card number to begin repairs, or payment with check or money order. I accept Visa, Mastercard, Amex, and Discover cards.
I am well equipped to return your timepiece to you properly packaged. My shipping department has plenty of packing material and boxes to make the journey home a safe one for your timepiece. Packages are returned to you via "UPS Ground" or via "Priority Mail" , and are insured for the "declared value" that you have stated on this form.
Please note although most repair estimates are provided for free, whether you approve the repair estimate or not, the minimum charge for return packing, shipping, and insurance is $25.00. Large, heavy, or high-value packages, and those involving considerable time to package properly, will have a higher cost. Special shipping requests, such as "Next Day Air", "2nd Day Air", "Weekend Delivery", etc., will cost substantially more than $25.00.
Please call or E-mail if you have any questions about sending your clock to me.
Please ship your clock to:
John F. Kurdzionak