Clock Repair Request Form If you have a clock you’d like to have repaired, please fill out the clock repair request form below. Name (required) Email (required) Address (required) City, State, Zip Phone ----------------------------------------- What make/model/type of clock do you have? (i.e. Howard Miller Grandfather Clock, Seth Thomas Mantel clock, Junghans Wall Clock, etc.) Describe the issues or problems you are having with your clock: Just to make sure you're not a robot... 4 x 4 = The Capital of Kansas