ThiS iS your repAir Coupon. keep iT in A SAfe plACe.
TiMeX inTernATionAl WArrAnTy repAir Coupon
Original Purchase Date: _______________________________________________
(attach a copy of sales receipt, if available)
Purchased by: ______________________________________________________
(name, address, telephone number)
Place of Purchase: ___________________________________________________
(name and address)
Reason for Return:_______________________________________________ ____
__________________________________________________________________
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