QUESTIONNAIRE ON ATTLEBORO CLOCKS

                (Please print page, complete it, and mail it along with a picture of your clock)

When and from what city, state did you obtain the clock from? _______________________

___________________________________________________________________________

Do you know where the clock was first purchased?__________________________________

 ___________________________________________________________________________

(use back of page if you need more room)

 What is model name (if label is legible)? _________________________________________

 The case is same as which photo on PICTURE PAGE of this WEB site No. ____, different ____

 If the case is different please describe it (including type of wood) or send picture:

____________________________________________________________________________

 The movement is: solid brass _____, brass plated ______(can be checked with a magnet)

 Please write any markings on the movement? ______________________________________

_____________________________________________________________________________

Is there an alarm? _____. If so is the alarm key permanently attached? ______

Pendulum is same as IDENTIFICATION TIPS page of this WEB site No. _____, different ____

 If the pendulum is different please describe it (or send picture/drawing):

 ____________________________________________________________________________

 _____________________________________________________________________________

Please include any additional information on your clock that you think would be of interest, and any knowledge of other Attleboro clocks.

Pictures would be greatly appreciated.

Please mail to:
Jerry Baker,
C/O National Exemption Service, Inc.
604 Packard Court, Suite A
Safety Harbor, FL 34695

Email: Jerry Baker