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Click on the form below to fill it out using
MS Word
or print it out and fill it in by hand.
Mail-in with your frames. |
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(If your form does not download in Word, you
may
download a .PDF form here) |
| PRIVACY POLICY: All information given is not shared, given or made use of by any person or business and is used solely for the purpose of processing the payment and return of the glasses to the rightful party. All information is destroyed once payment is processed and glasses received by the rightful party. Credit card information can be given by phone, if desired. |
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