Mail your repair to: Maui Jim Sunglasses Attn: …

Sender Billing Information Name: _____ Address: _____ City, State, Zip Code: _____ Phone number: _____ Email Address:_____ Sender Shipping Information: (if different than above) Name: _____ Address: _____ City, State, Zip Code: _____ Is this a commercial address? (Please circle): Yes or No Is USPS available in your area? (Please circle): Yes or No Sunglass repair Section Sunglass Style Number: _____ Date of Purchase: _____ Are your Sunglasses prescription? (Please circle): Yes or No Description of repair : _____ _____ When sending your Sunglasses in for repair be sure to include: 1.

Sender Billing Information Name: _____ Address: _____

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