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Kids
Optical
Sunglasses
Warranty Claims
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Warranty Claims
Warranty Claims
Company Name
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Email
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Suburb
*
Account Code
*
Phone
*
Patient Ref.
*
Lab Job no.
*
Model No.
*
Colour No.
*
Size
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Temple Length
*
Please Select Part
Please Select Part
Front
Pair of Temples
Right Temple
Left Temple
Pair of Temple Tips
Other... (please describe below)
Explain Part Needs
*
Please, attach picture of manufacturing fault for quick assessment and crediting.
Please Upload Photo of Fault
Accepted file types: jpg, png, pdf, gif.
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