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----------------------------------------- What type of clock do you have? Grandfather/Floor ClockCuckoo ClockWall ClockMantel Clock400 day/Anniversary ClockAlarm ClockOther / Not sure
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Do you know the brand of your clock? (i.e. Howard Miller, Seth Thomas, Ansonia, Junghans etc. Or, Not Sure/Can't tell)
Please describe the issues or problems you are having with your clock:

Would you like to be automatically put on our queue list for repair? YesNot At This Time

Just to make sure you're not a robot... 4 x 4 = The Capital of Kansas Disclaimer: By sending this form, we are collecting data from you for the sole purpose of contacting you about clock repair.