Timex W279 quick start Original Purchase Date , Purchased By, Place of Purchase, Reason for Return

TIMEX INTERNATIONAL WARRANTY REPAIR COUPON

Original Purchase Date: _________________________________

(attach a copy of sales receipt, if available)

Purchased By:________________________________________

(name, address, telephone number)

Place of Purchase:_____________________________________

(name and address)

Reason for Return_ ____________________________________

__________________________________________________

__________________________________________________

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