Armitron Parts Request Order Form

(* required)

Your Information

Name*

Email*

Phone*

Return Shipping
Address*

City*

State*

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Zip*

Armitron 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)

Parts Request

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)