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.

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

Email: Jerry Baker