Repair Form FacebookThis field is for validation purposes and should be left unchanged.Name* First Last Glasses Description (Brand, Color, Model Number if known)*Shipping Address*The address you want your glasses shipped to when repaired. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Address*PhoneRepair Type*Select OneHinge Repair | Arm Reattach: $78.95Flexon Frame Repair $99.95Nose Bridge Repair (Metal bridges only, not plastic): $78.95Reattach Nose Pad Arm: $68.95Restring Half Wire Frame: $39.95Replace Both Temple Arms-Silhouette frames ONLY (non OEM) $109.95. Non-OEM means not Original Equipment Manufactured. They work like the originals and are made of partial titanium.Replace Both Temple Arms: $78.95.Please select the appropriate repair type to be performedReturn Shipping MethodSelect OneFirst Class Mail – FreeUSPS Priority Mail – $10.95USPS Priority Mail Express – $39.95How fast do you want your glasses returned to you?Total $0.00 Payment Method*Select OnePayPalCredit CardCredit Card Payment American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Expiration Date Security Code Cardholder Name Δ