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 watch, movement, and dial. Please complete the following.

Movement:     Pocket Watch     Wrist Watch

Size:

Number of Jewels:

Winding/Setting Mechanism:

Dial Characteristics:

Serial Number:

Plate Design:

Case:

Size/Sape:

Style:

Material:

Decorative Charateristics:

Describe all marks on the dial (e.g., manufacturer's name, etc.):

Describe all marks and numbers on the movement:

Describe all marks and numbers on the inside and outside of the case:

Describe or show plate arrangement, or provide a diagram as an attachment:

Repeater/alarm mechanism: Yes No     Chronometer   Chronograph   Automatic (Self) Winding  

Other complications (day/date, moon phase, etc.)    

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!