Flip Clock Repair Form

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Clock Maker

Clock Maker (Examples Panasonic, Copal, General Electric)

Clock Model Name

Clock Model Name if available (examples: Digi-glow, Speed Read)

Clock Model Number

Clock Model Number or ID Number

Clock Description

Description

Desired Service(s)

Restore Function to Clock Motor

Replace Illumination Bulb

Clean AM/FM Selection or Volume Switch

Buffing, Polishing, Cleaning

Services of Interest select multiple as desired.

Other Services/Issues

Any other issues with clock for resolution

E-Mail Address *

Name

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