517 High Road, Wembley, Middx, HA0 2DH , UK

Tel/Fax: 020 8900 9229

Email: info@bablas.co.uk

Website: www.bablas.co.uk

This form can be filled in online and then printed. Please ensure you enclose this form with your watch.

Name:

Address:

Daytime phone:

Evening Phone:

Email:

Brand of watch:

Repairs to be carried out:

(e.g. battery change, service)