This form is being submitted to both Web Horology and the NAWCC Library Research Center.

*Your Name:

*Date:

*Your Email:

*NAWCC Membership Number:

Address:

Phone Number:

*Please refer to the Members' General Research Form when requesting information on a general topic. This form is intended
to provide information specific to a particular watch. Please state your specific question(s).

If possible supply detailed photographs¹ of the case, movement, and any labels. Please complete the following:

Overall description:

Movement description:
Power source (weight, spring, or electric, etc.):

Material (wood, brass, etc.):

Function (time, strike, chime, 30-hour./8-day, etc.):

Trademark or Maker's Name:

Dial description:
Material (wood, zinc, iron, paper, painted, etc.):

Trademark or Maker's Name:

Patent Dates:

Case description:
Type (mantel, wall, etc.):

Style/decorative characteristic:

Material of construction:

Labels:

Other Features: (repeater, calendar, erc.):

Attachments



Image URLs!



1) For submitting digital images, please use the attachments or provide URLs.
*) Required information. The more information you provide, the easier it will be for us to answer your research question!