Jewelry and Watch Repair Form
2466 El Camino Real, Santa Clara, CA 95051      Tel (408) 260-9524      Fax (408) 260-9579

Please complete this form and enclose it with the item in need of repair.




Last Name                                                                                            First Name


Street Address                                                                      City                                        State                     Zip Code


E-Mail Address


Telephone (Daytime)                                Telephone (Evening)                                        Fax


Select One:             Watch Repair                        Jewelry Repair

Description of item sent:





Description of damage and repair(s) needed:





Select a Return Shipping Option:
Standard Shipping (UPS Ground) $4.95                        2nd Day UPS Delivery $9.95

We will contact you with payment details once the estimation or repair has been made.
We accept payment by check or credit card (VISA or MasterCard).

We advise customers to insure jewelry and watches with value of USD $100 and up as HK Jewelry is not responsible for any damages or lost items during shipping. All repairs will be shipped back with insurance. Thank you for your service!