Watch Ownership Verification Form
Please fill out your watch details, upload photos, and provide your contact information to assist with your request.
Rolex Model Name (ex: Daytona, Datejust, etc.)
*
Reference or style number (Located on the original warranty card or original receipt)
*
Do you have the original box?
*
Yes
No
Do you have the original warranty card?
*
Yes
No
Was your watch purchased at BC Clark?
Yes
No
Not Sure
If yes, please provide purchase information including: Approx. year purchased, purchase location and purchase name.
Provide any other details about your watch
Upload 3 photos: 1. Dial 2. Bracelet 3. Box and Warranty Card
*
Upload a File
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First Name
*
Last Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Method of Contact
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Text
Email
Phone
Submit
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