Brand:

Series:

Model Number:

Serial Number:

Year:

Retail: $

Gender:

Country of Manufacture:

Band

Band Type:

Band Material:

Band Color(s):

Clasp:

Max Wrist Size:

Features

Water Resistance:

Functions:

Features:

Condition Report

Overall Condition Report (1 to 10):

Box:

Papers:

Receipt:

Damages or Imperfections:

Type of Crystal:

Type of Bezel:

Condition of Bezel:

Condition of Lugs:

Condition of Head:

Condition of Bracelet/Band:

Original or Anything Altered:

Other Notes:

Case

Case Width:

Case Material:

Case Shape:

Case Back:

Movement

Movement:

Movement Caliber or Number:

Power Reserve:

Is it Working ( or-) Time:

Are All the Parts Original and Correct:

Has This Been Inspected by Our Watchmaker:

Are All Functions Working Properly:

Additional Info:

Style:

Warranty:

PM Number:

PM4008039

This has been inspected and approved by our jeweler and watchmaker.