Repair Mail-in Form
- Print this form and fill it out .
- Securely wrap your glasses and enclose this form along
with cashiers check or money order*.
- Be sure to include all parts (including lenses!)
- We will repair your existing metal frames
We cannot provide replacement parts!
- Be sure to include your return address on the outside of the package.
- We recommend insuring your glasses
4. Send to:
Eyeglass Laser Repair
Elie Jewelry
P.O.Box 2449
Yelm, WA 98597
Name:_____________________________________________
Address:____________________________________________
City, State, Zip:________________________________________
Daytime Phone Number: (_______)_________-____________
Email_____________________________________
Repair regular Frames *
(one LASER weld) |
$ *29.95
|
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| each additional weld $14.955 |
$ 14.95
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Repair Titanium frames*
( one LASER weld)| |
|
$ 39.95
|
| each additional Titanium weld $19.95 |
|
$ 19.95
|
| Return shipping via Priority Mail add $6 but add $25 for Express Mail
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|
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| add insurance $1.00 per $100 |
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Total |
$
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$
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* If the frame is thin and light it is most likely made of Titanium alloy
Payment Method
____Cashiers Check or Money order (enclosed) {payable to Elie Jewelry}
___Visa ___ Mastercard ___Amex ___Discover
Card Number __________-___________-__________-_________
Exp.:_________
Signature ________________________________________________
Required for Credit card only
.
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