Minorjewelry.com Rolex Repair Information Form
Minor Repair
1. Please fill out form.
2611 12th Avenue South
2. Print and include with watch.
Nashville - Tennessee - 37204
3. Submit for processing of your repair.
877-477-7077
Name
Company
Shipping Address
City , State Zip
Telephone
FAX
E-mail
Reason for Repair
Service Watch
Refinish Case and Band Only
Refinish Dial
Leaks Water
Convert to Sapphire Crystal
Add Diamonds to Dial
Will not run at all
Replace Crystal
Replace Hands
Dropped Watch
Replace Crown
Replace Insert
Band Repair
Replace Case Tube
Replace Bezel
Watch Information
Fill out as much as you can
Model Number
Case and Band
Steel
Steel and Gold
Gold 18k
Gold 14k
Serial Number
Type of Dial
Stick Marker
Other
8 Round 2 Baguette
Diamond Dial
Name on Dial
Datejust
Date
Day Date
GMT
Submariner
Daytona
Yachtmaster
Sea Dweller
Oysterquartz
Explorer
Air-King
Oyster Perpetual
Masterpiece
Cellini
Color of Dial
Black
White
Blue
Oyster-Silver
Champagne
Other
Shipping Insured Value $
Type of Bezel
Fluted
Diamond
Other
Smooth
Engine Turned
Comments
1.
2.